Gastroduodenal tuberculosis: a case series and a management focused systematic review

Shah, Jimil; Maity, Prasenjit; Kumar‐M, Praveen; Jena, Anuraag; Gupta, Pankaj; Sharma, Vishal

doi:10.1080/17474124.2020.1816823

Cited by 16 publications

(20 citation statements)

References 24 publications

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“…Endoscopies can show ulcers, masses, or extrinsic compression. 7 However, in our case, gastric cancer was suspected and the biopsy did not help to confirm the diagnosis. The poor yield of the biopsy is explained by the submucosal lesion that may not reveal granulomas and is difficult to obtain tissues from.…”

Section: Discussionmentioning

confidence: 54%

“…The poor yield of the biopsy is explained by the submucosal lesion that may not reveal granulomas and is difficult to obtain tissues from. 7,8 Endoscopic ultrasonography is also very helpful, especially in the case of submucosal lesions or related lymph node enlargement, 7 as it can differentiate between an extrinsic compression and a subepithelial gastric tumor by identifying the relationship between the lesion and the gastric wall. 9 Morphologically, no specific imaging findings can help diagnose tuberculosis rather than malignancy, because there are no pathognomonic characteristics that show radiological modalities.…”

Section: Discussionmentioning

confidence: 99%

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Case Report: A case of tuberculosis lymphadenitis mimicking a gastric tumor

et al. 2021

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Solitary tuberculosis of the upper gastrointestinal tract is a rare pathology that usually mimics the clinical and radiological features of malignant tumors. A gastric subepithelial tumor is usually detected during diagnostic endoscopy. Stomach tuberculosis, in particular, can appear as a subepithelial tumor of the stomach wall. Several cases of gastric tuberculosis imitating subepithelial gastric tumors have been reported recently. We describe the case of a patient with tuberculous lymphadenitis that mimics a submucosal gastric tumor. A 52-year-old female was admitted to our surgical department for epigastric pain and weight loss. Endoscopy was inconclusive; it revealed either a submucosal compression or an anterior submucosal lesion with erosive anterior gastropathy and a fistulous orifice located in the bulb. The patient was diagnosed with a gastric tumor and an endoscopic ultrasound demonstrated a rounded hypoechogenic antral lesion that was not vascularized and was distant from the gastric wall, whose five layers appeared of a normal aspect. The patient underwent an exploratory laparotomy. A biopsy was sent intraoperatively for frozen section examination, and concluded that the diagnosis was tuberculous intraperitoneal lymphadenitis. The patient received anti-tuberculosis treatment. This case demonstrates that gastric tuberculosis remains a challenging diagnosis.

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Section: Discussionmentioning

confidence: 54%

Section: Discussionmentioning

confidence: 99%

Case Report: A case of tuberculosis lymphadenitis mimicking a gastric tumor

et al. 2021

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“…Endoscopy is helpful to diagnose this pathology, especially by biopsy results. It can show ulcers, mass, or extrinsic compression [7]. However, in our case, gastric cancer was suspected and the biopsy did not help to confirm our diagnosis.…”

Section: Discussionmentioning

confidence: 58%

“…However, in our case, gastric cancer was suspected and the biopsy did not help to confirm our diagnosis. The poor yield of the biopsy is explained by the submucosal lesion that may not reveal granulomas and that is difficult in obtaining tissues [7], [8].…”

Section: Discussionmentioning

confidence: 99%

“…Endoscopic ultrasonography is also very helpful, especially in the case of submucosal lesions or related lymph node enlargement [7]; because it can differentiate between an extrinsic compression and a subepithelial gastric tumor by identifying the relationship between the lesion and the gastric wall [9]. Morphologically, No specific imaging findings can help diagnose tuberculosis rather than malignancy because there are no pathognomonic characteristics showed radiological modalities [5].…”

Section: Discussionmentioning

confidence: 99%

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