Primary gastric tuberculosis: A case report

Abstract

A case of primary gastric tuberculosis is reported in a 34-year-old Negro male. The difficulty in diagnosis is emphasized. Surgical resection with postoperative anti-tuberculosis chemotherapy was followed by satisfactory recovery.

Pyloric obstruction due to gastric tuberculosis—an endoscopic diagnosis

“…He was given oral cimetidine for 6 weeks. A repeat endoscopy after 6 weeks had shown a normal appearance of the duodenum bulb. There was no scar or deformity of the duodenum.…”

Pyloro‐duodenal Gland Tuberculosis in an Aboriginal Child

“…Similar features were present in the Aboriginal child, except there was failure to thrive rather than weight loss. Ulceration is said to be the main manifestation of gastric tuberculosis (Pinto, Zausner and Beranbaum, 1970), but there are many reported cases (Gaines, Steinbach and Lowenhaupt, 1952;Morris, 1948;Ostrum and Serber, 1948;Page, Williams and Benson, 1975;Ackermann, 1940;Tuchel -ef al, 1969) which involved the pyloro-duodenal area in adult patients causing narrowing, sometimes with obstruction and gastric dilatation, resembling involvement by a carcinoma. The radiological changes in most of these cases were due, at least in part, to enlarged prepyloric lymph nodes which were also responsible for the changes in the Aboriginal child, reported in this paper.…”

“…is said to be caused by swallowing the human strain of the bacillus when the condition is secondary to pulmonary tuberculosis (Thomas and Panniker, 1976). The majority of cases published in the literature had a clear chest x-ray (Morris, 1948;Page, Williams and Benson. 1975;Talib et al, 1975;Johnson and Tsega, 1981).…”

“…Ghosh and Muckerjee, 1978) and Africa (Johnson and Tsega, 1981;Osime, 1977) areas were primary tuberculosis is poorly controlled. A significant proportion of cases reported from the United States were negroes (Gaines, Steinbach and Lowenhaupt, 1952;Pinto, Zausner and Beranbaum, 1970;Edidin, Des Autels and Baker, 1956) and from the United Kingdom a West Indian (Page, Williams and Benson, 1975) and an East Indian (Chazan and Aitchison, 1960) representing the deprived section of the community of these developed countries. The situation is similar in the Aboriginal communities of the Northern Territory where the incidence of tuberculosis is several times higher than in the nowAboriginal population (Strang, 1982).…”