Gastric Tuberculosis

Abstract

Gastric tuberculosis is a very rare disease posing a diagnostic challenge to physicians, pathologists and radiologists. It usually occurs in females aged 25 to 45 years. Symptoms include epigastric pain, vomiting, fever, weight loss, upper gastrointestinal (GI) bleed and gastric outlet obstruction. High index of suspicion and endoscopic or endoscopic ultrasound guided biopsies may help in making an early diagnosis, particularly in patients with non-healing gastric ulcers. We report a case of gastric tuberculosis in a 55-year male, who presented with persistent vomiting, epigastric pain and significant weight loss. His upper GI endoscopy finding with histopathology results favoured the diagnosis of gastric tuberculosis. He was successfully treated with antituberculous regimen.

Asymptomatic gastric tuberculosis in the gastric body mimicking an isolated microscopic erosion

“…Gastric tuberculosis is rare, which occurs mostly secondary to lung tuberculosis, intestinal tuberculosis, urinary tuberculosis, bone tuberculosis, or pelvic tuberculosis. [2] It often occurs in people with underdeveloped economy and poor living conditions. The disease is more common in young and middle-aged people, especially women.…”

“…It often occurs in people with underdeveloped economy and poor living conditions. The disease is more common in young and middle-aged people, especially women [1,2] . The pathogenesis of gastric tuberculosis is not very clear.…”

“…The disease is more common in young and middle-aged people, especially women. [1,2] The pathogenesis of gastric tuberculosis is not very clear. Several potential mechanisms have been proposed:…”

“…Gastric tuberculosis is rarely seen in clinical practice, which occurs mostly secondary to lung tuberculosis, intestinal tuberculosis, and other common tuberculosis. Endoscopic manifestations of gastric tuberculosis are not specific [1,2] . Gastric tuberculosis often presents as an irregular erosion, ulcer, submucosal bulge lesions, or gastric sinus deformation [3–6] .…”

“…Endoscopic manifestations of gastric tuberculosis are not specific. [1,2] Gastric tuberculosis often presents as an irregular erosion, ulcer, submucosal bulge lesions, or gastric sinus deformation. [3][4][5][6] It is rare to present as a single microscopic superficial erosion.…”