Isolated Gastric Tuberculosis: A Case Report

Isolated gastric tuberculosis presenting as massive hematemesis: Report of a case

“…1,7,9,10 Patients having gastric tuberculosis may present with symptoms related to upper gastrointestinal tractdyspepsia 2 or gastric outlet obstruction; 1,7,9,10 however, upper gastrointestinal bleeding is a rare presentation. 2,7,9 The endoscopic picture in our patient was quite similar to that of Dieulafoy's ulcer. 3 Our patient had a deep ulcer with a visible vessel.…”

Gastric Tuberculosis

“…5 Primary and isolated GT without evidence of lesions elsewhere is extremely rare, and few cases have been reported so far. 10,11,[15][16][17] The reasons for the relative rarity of GT are obscure but attributed to factors like the bactericidal property of gastric acid, scarcity of lymphoid tissue in the gastric wall, intact gastric mucosa and motor activity of the stomach. 5,7,16 The possible routes of infection include direct infection of mucosa, hematogenous spread, extension from a neighboring tuberculous lesion, and secondary infection superimposed upon a preexisting ulcerative or neoplastic gastric lesion.…”

Surgical treatment of gastric outlet obstruction due to gastroduodenal tuberculosis

“…A few cases reported in Western countries are in immunosuppressed patients, particularly those with HIV infection. [6][7][8][9][10][11][12][13][14][15][16] In the case that we have reported the patient did not show any pulmonary nodes or calcifi cations, and the HIV test was negative. Abdominal pain, vomiting, gastric outlet obstruction, 17,18 gastrointestinal bleeding, and weight loss are common symptoms of gastroduodenal tuberculosis.…”

“…The treatment of gastric tuberculosis is primarily medical, with antituberculosis drug therapy. [10][11][12] The role of surgery lies in the treatment of the patient with severe gastric outlet obstruction caused by hypertrophic tuberculosis, 2,3,9,11,17,18 and the surgical treatment should be followed by antituberculosis drug therapy.…”