Isolated Gastric Tuberculosis: A Case Report and Review of Literature

Mukhopadhyay, Madhumita; Rahaman, Q. M.; Mallick, Nisith R.; Khan, Dawood; Roy, Sudipta; Biswas, Niloy

doi:10.1007/s12262-010-0133-1

Cited by 9 publications

(12 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The most common site of gastric TB is the antrum region, especially the lesser curvature near the prepyloric region [3][4][5][6]15]. Additionally, this is the most common site for peptic ulcers, thus resulting in a mucosal breach at this site.…”

Section: Discussionmentioning

confidence: 99%

“…Clinically, gastric tuberculosis often resembles peptic ulcer disease, cancer or lymphoma under endoscopy [1,2]. There have been several reported cases of gastric TB mimicking a subepithelial tumor or gastrointestinal stromal tumor, but most cases were mainly located in the antrum of the stomach [3][4][5][6]. Gastric tuberculosis in the cardia of the stomach usually appears like a gastric stromal tumor [4].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

Lv¹,

Tang²,

Meng³

et al. 2020

BMC Gastroenterol

View full text Add to dashboard Cite

Background: Primary isolated gastric TB of the cardia presenting as a submucosal tumor is extremely rare. Case presentation: A 60-year-old female was admitted to our department; endoscopy revealed a smooth protruding lesion in the gastric cardia. The patient was diagnosed with a gastric cardia stromal tumor and the lesion was seen in muscularis propria by endoscopic ultrasonography (EUS). Endoscopic submucosal dissection (ESD) revealed that the lesion was filled with a milky, white liquid and white granulation tissue. Acid-fast specimen staining was negative. Hematoxylin and eosin staining showed patches of caseating necrosis and granulomatous inflammation. Gene sequencing subsequent to polymerase chain reaction (PCR) analysis of the ESD specimen identified Mycobacterium tuberculosis (M. TB) DNA fragments. The patient was put on ATT for 6 months. Conclusion: Primary isolated gastric TB of the cardia should be suspected in patients without clinical symptoms whose manifestations are similar to those associated with submucosal tumors. TB-PCR may be helpful for further diagnosis.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

Lv¹,

Tang²,

Meng³

et al. 2020

BMC Gastroenterol

View full text Add to dashboard Cite

show abstract

“…El tratamiento de elección es la terapia con fármacos antituberculosos, y solo en casos específicos la cirugía. La endoscopia superior o la colonoscopia de seguimiento no se requieren en pacientes que tienen mejoría sintomática después de un tratamiento anti-TB 8,27 .…”

Section: Discussionunclassified

“…La Tuberculosis gástrica es una entidad poco frecuente, incluso en un país como India, en el que la tuberculosis es endémica 8 . La razón de esto se ha atribuido a la propiedad bactericida del ácido gástrico, la escasez de tejido linfoide en la pared gástrica y la integridad de la mucosa del estómago 9,10 .…”

Section: -164unclassified

Tuberculosis gástrica que simula otra patología: caso clínico

Carvajal¹,

Toro²,

Coutin³

et al. 2015

MedUPB

View full text Add to dashboard Cite

RESUMENLa tuberculosis gástrica es una entidad rara que simula otras patologías. Suele asociarse con diagnósticos tardíos debido a sus características clínicas y forma de presentación atípica en este tipo de órganos. Se extrajeron los datos de la historia de una paciente, previo consentimiento informado. Se describen las características clínicas, el enfoque inicial, los hallazgos endoscópicos y la similitud con otras patologías, para terminar con una revisión del tema en la literatura. La tuberculosis gástrica simuló, inicialmente, otras patologías, lo que generó retraso y algunas dificultades en el diagnóstico y manejo. Se trata de una entidad con manifestaciones clínicas variables e inespecíficas, que se confunden con otras entidades, dada su similitud clínica y poca frecuencia de presentación. Existe poca literatura y la mayoría se limita a reportes de casos aislados, con comportamiento benigno y respuesta adecuada al manejo médico con fármacos antituberculosos. Palabras clave: tuberculosis; diagnóstico diferencial; endoscopia; estomago; intestino delgado; intestino grueso. ABSTRACTGastrointestinal tuberculosis is a rare entity that mimics other pathologies. It is commonly associated with late diagnosis due to its clinical characteristics and atypical presentation in these types of organs. Data were taken from the medical record of a patient following informed consent. Clinical characteristics, initial focus, endoscopic findings, and similarities with other pathologies are described, and a topic review was done. Initially, gastric tuberculosis mimicked other pathologies causing a delay and difficulty to issue correct diagnosis and treatment. This entity has variable and nonspecific clinical manifestations which can be confused with other entities due to clinical similarities and infrequent presentation. There is scarce literature and most is limited to isolated case reports with benign behavior and adequate response to TB treatment.

show abstract

“…(9) Among these sites, it is rare that the stomach is infected by tuberculosis. (10) In Korea, few cases of gastric tuberculosis have been documented, and gastric cancer with concomitant gastric tuberculosis is even more rarely seen. (11)…”

Section: Discussionmentioning

confidence: 99%