Primary isolated asymptomatic gastric tuberculosis of the cardia mimicking gastric stromal tumor: a rare case report and literature review

Lv, Mingnan; Tang, Kejiang; Meng, Yuanjing; Tian, Chuan; Wang, Min

doi:10.1186/s12876-020-01242-x

Cited by 7 publications

(10 citation statements)

References 17 publications

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“…[ 64 ] GDTB may present as submucosal gastric tumors with non-specific abdominal pain and distention, but rarely as fistulas to surrounding viscera and peritonitis due to perforation. [ 65 66 67 68 ]…”

Section: Clinical Featuresmentioning

confidence: 99%

Gastrointestinal tuberculosis: A systematic review of epidemiology, presentation, diagnosis and treatment

Alzanbagi¹,

Shariff²

2021

Saudi J Gastroenterol

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Tuberculosis (TB) once considered a disease of the developing world is infrequent in the developing world too. Its worldwide prevalence with a huge impact on the healthcare system both in economic and health terms has prompted the World Health Organization to make it a top priority infectious disease. Tuberculous infection of the pulmonary system is the most common form of this disease, however, extrapulmonary TB is being increasingly recognized and more often seen in immunocompromised situations. Gastrointestinal TB is a leading extrapulmonary TB manifestation that can defy diagnosis. Overlap of symptoms with other gastrointestinal diseases and limited accuracy of diagnostic tests demands more awareness of this disease. Untreated gastrointestinal TB can cause significant morbidity leading to prolonged hospitalization and surgery. Prompt diagnosis with early initiation of therapy can avoid this. This timely review discusses the epidemiology, risk factors, pathogenesis, clinical presentation, current diagnostic tools and therapy.

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Section: Clinical Featuresmentioning

confidence: 99%

Gastrointestinal tuberculosis: A systematic review of epidemiology, presentation, diagnosis and treatment

Alzanbagi¹,

Shariff²

2021

Saudi J Gastroenterol

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“…[9][10][11][12] In many cases, it is often misdiagnosed as gastric malignant tumors. [4,6,9] Severe gastric tuberculosis can lead to gastric sinus deformation [5] and pyloric obstruction. [12] The antrum and prepyloric regions (especially the posterior wall) are the most common sites of gastric tuberculosis, which is presumably related to the fact that the gastric sinus area has mucosal pyloric glands in which mycobacteria tend to colonize.…”

Section: Discussionmentioning

confidence: 99%

“…[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. Here, we report such a case of gastric tuberculosis in a patient with cervical lymph node tuberculosis.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2022

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Introduction: Gastric tuberculosis is rarely seen in clinical practice, which occurs mostly secondary to lung tuberculosis, intestinal tuberculosis, and other common tuberculosis. Gastric tuberculosis rarely presents as a single microscopic superficial erosion. We recently diagnosed such a case, hence reporting it herein.Patient concerns: A 40-year-old female patient was admitted with a chief complaint of painful enlarged cervical lymph nodes. She had no other symptoms or any previous history of remarkable diseases.Diagnosis: Physical examination found multiple enlarged cervical lymph nodes. Computer tomography revealed multiple circular well-defined soft tissue masses in the bilateral carotid sheath spaces. A cervical lymph node biopsy showed caseous necrosis with infiltration of neutrophils and lymphocytes, and most importantly, mycobacteria through staining for acid fast bacilli. Routine gastroscopy showed a 0.5 cm Â 0.5 cm well-defined erosion on the large curvature of the gastric body. Gastric biopsy revealed chronic granulomatous inflammation with mycobacteria through staining for acid fast bacilli. The patient was diagnosed as having cervical lymph node tuberculosis and gastric tuberculosis.Interventions and outcomes: She received 6 months of standard anti-tuberculosis therapy. The enlarged cervical lymph nodes shrank in size and the pain was relieved.Conclusions: Gastroscopy should be performed to look for gastric tuberculosis if the patient presents primary tuberculosis in other organs/tissues such as cervical lymph nodes. If any small erosion is found, a biopsy is justified for checking the possibility of gastric tuberculosis.

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“…Unfortunately, the epithelioid granulomata do not always harbor the distinguishing histologic feature of caseous necrosis. 67 , 68 Given its superior sensitivity, if available, polymerase chain reaction analysis should be preferred over the labor-intensive but frequently unrewarding examination of acid-fast stains. 69 …”

Section: Crohn’s Diseasementioning

confidence: 99%

Upper Gastrointestinal Tract Involvement in Inflammatory Bowel Diseases: Histologic Clues and Pitfalls

Kővári

Pai

2021

Advances in Anatomic Pathology

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The upper gastrointestinal (UGI) manifestations of inflammatory bowel diseases (IBDs) are frequently obscured by classic ileal and colonic symptoms and are reported to involve only 0.5% to 4% of adult patients. However, because of the improvement of endoscopic techniques and the growing use of esophagogastroduodenososcopy with biopsy, both asymptomatic and clinically significant esophageal, gastric, and duodenal manifestations are increasingly recognized. The UGI involvement in IBD was historically synonymous with Crohn’s disease (CD), but the doctrine of ulcerative colitis (UC) being limited to the colon has been challenged, and UC-related gastroduodenal lesions have been reported. The diagnosis of UGI IBD should ideally rely on a combination of the clinical history, endoscopic picture, and histologic features. Although endoscopic changes such as aphthoid or longitudinal ulcers and bamboo-joint-like pattern are suggestive of CD, histologic evaluation increases the sensitivity of the IBD diagnosis since histologic alterations may be present in endoscopically unremarkable mucosa. Conversely, in many cases, the histologic findings are nonspecific, and the knowledge of clinical history is vital for reaching an accurate diagnosis. The presence of epithelioid granuloma is highly suggestive of CD but is present in a minority of CD cases; thus, pathologists should be aware of how to diagnose UGI IBD in the absence of granulomata. This article reviews the most important clinical, endoscopic, and histologic features of IBD-associated esophagitis, gastritis, and duodenitis, as well as the IBD-related manifestations in the biliary tract and the postcolectomy setting.

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Primary isolated asymptomatic gastric tuberculosis of the cardia mimicking gastric stromal tumor: a rare case report and literature review

Cited by 7 publications

References 17 publications

Gastrointestinal tuberculosis: A systematic review of epidemiology, presentation, diagnosis and treatment

Gastrointestinal tuberculosis: A systematic review of epidemiology, presentation, diagnosis and treatment

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

Upper Gastrointestinal Tract Involvement in Inflammatory Bowel Diseases: Histologic Clues and Pitfalls

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