Tuberculosis of the Stomach

Clagett, O. Theron

doi:10.1001/archsurg.1938.01200030154010

Cited by 24 publications

(8 citation statements)

References 8 publications

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“…5,6 The numerous lymph follicles in the pyloric region and the superimposition of tuberculosis on a nonspecific ulcer, which is common in the region, have been cited as reasons for the higher incidence of tuberculosis in the pyloric region. 4,7 However, there are few reports about an ulcer or mass being caused by Mycobacterium tuberculosis close to the gastroesophageal junction. 8 Most patients with GT experience epigastric pain, vomiting, and weight loss, 1,5 and the development of pyloric obstruction 3 or massive hematemesis 1,6,9 has also been reported; however, TGP is extremely rare.…”

Section: Discussionmentioning

confidence: 99%

“…8 Most patients with GT experience epigastric pain, vomiting, and weight loss, 1,5 and the development of pyloric obstruction 3 or massive hematemesis 1,6,9 has also been reported; however, TGP is extremely rare. 4,7 Localization of the tuberculous lesion within the mucosa and submucosa, sparing the muscular layer, may explain the low incidence of perforation. 5,7 Our patient did not show the typical features of acute gastric perforation and therefore, this diagnosis was not clinically considered at first.…”

Section: Discussionmentioning

confidence: 99%

“…4,7 Localization of the tuberculous lesion within the mucosa and submucosa, sparing the muscular layer, may explain the low incidence of perforation. 5,7 Our patient did not show the typical features of acute gastric perforation and therefore, this diagnosis was not clinically considered at first. Moreover, because TGP is generally localized, its clinical presentation is less dramatic than that of acute peptic ulcer perforation.…”

Section: Discussionmentioning

confidence: 99%

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Tuberculous Gastric Perforation: Report of a Case

et al. 2004

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A 21-year-old woman presented with a 2-day history of acute abdominal pain. Contrast-enhanced computed tomography (CT) showed a perforation in the lesser curve of the stomach. The patient suffered a bout of hematemesis, following which an endoscopy showed a bleeding blood vessel at the edge of the perforation. We performed an emergency distal gastrectomy, including the ulcer site. Histopathological examination revealed tuberculous granulation tissue and acid-fast bacilli in the ulcer. The patient was given antituberculosis therapy (ATT) postoperatively, and was well when last seen 1 year 5 months after surgery. We analyzed the clinical data of five cases of tuberculous gastric perforation (TGP), reported between 1948 and 2003, including our patient. The patients ranged in age from 21 to 45 years, with a mean age of 36.8 years (SD +/- 10.21), and a male to female ratio of 3 : 2. The diagnosis was confirmed by surgery or autopsy. Abdominal lymphadenopathy was present in all patients. Gastrectomy was performed in four patients, and two were given ATT. All four patients in the previous reports died of their disease.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Tuberculous Gastric Perforation: Report of a Case

et al. 2004

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“…The main findings in the series are tabulated on pages 24. The thymus picture in this series may be summarized as follows: 9 cases I (1-9 in the table) Age 20-71, mean 46 yrs.…”

Section: The Author's Materialmentioning

confidence: 99%

“…Thus Lievre's (25) coliection (1936) of 67 autopsy-cases from the literature contained 24 tumor-cases ( = 3 5 3 % 1 and Hardymoon's (21) (1944) of 132 autopsy and operative cases 42 ( = 31.8 % 1. The four operative series of Blalock ( 5 ) , V i e f s (391, Keynes (23) and Clagetf ( 9 ) , published between 1944 and 1947 give, on the other hand, 131 cases altogether with 29 ( = 23,5 % ) thymomas. This lower figure seems to approximate the actual rate but it is still probable that cases with clinically established tumor are more often operated upon than those without.…”

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confidence: 99%