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

Abstract

Tuberculous involvement of the stomach is rare. We report herein the unusual case of a 25-year-old man in whom a benign gastric ulcer was found along the lesser curvature after he presented with massive upper gastrointestinal bleeding. Histopathological examination helped to confirm a diagnosis of tuberculosis. The granulomas typical of tuberculosis were caseation with epithelioid and giant cells. The patient was successfully treated by a combination of appropriate surgical therapy and prompt institution of antituberculosis medication.

Isolated Gastric Tuberculosis: A Case Report and Review of Literature

“…Gastric outlet obstruction is the most common presentation of tuberculosis [6]. Other presentations reported in literature are haematemesis [11], perforation [1,12], non healing ulcer [13], and dysphagia [5].…”

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.…”

Tuberculosis gástrica que simula otra patología: caso clínico

“…Sin embargo, esta paciente no pertenecía a estos grupos ni tuvo contacto con personas de estas poblaciones. La TBGI es causada 159-164 en la literatura son hematemesis 14 , perforación 15 , úlcera que no cura 16 , y disfagia 9 . El tratamiento antituberculoso constituye la base del tratamiento cuando se realiza el diagnóstico de la tuberculosis gástrica.…”

“…Debido a la falta de diagnóstico clínico preciso y la baja sensibilidad en las pruebas de laboratorio, la mayoría de los pacientes necesitan una intervención quirúrgica para el diagnóstico 9,11 . Incluso si se diagnostica por biopsia endoscópica, la cirugía llega a ser necesaria para el manejo de complicaciones como el síndrome pilórico, la perforación o la hemorragia exanguinante [13][14][15] . En un estudio realizado en la India, Singh Puri et al, reportan una serie de casos de 13 pacientes con obstrucción pilórica en quienes se diagnosticó tuberculosis gastroduodenal.…”