Primary Duodenal Tuberculosis: a Case Report

Lamberty, Greg J.; Pappalardo, Elisa; Dresse, Damien; Denoel, A

doi:10.1080/00015458.2008.11680292

Cited by 8 publications

(8 citation statements)

References 3 publications

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“…Furthermore, duodenal tuberculosis is rare even in patients with pulmonary tuberculosis and an endemic area of tuberculosis 2,5. An autopsy series reported a 0.5% incidence rate of gastroduodenal tuberculosis in patients with pulmonary tuberculosis 2.…”

Section: Discussionmentioning

confidence: 99%

“…An autopsy series reported a 0.5% incidence rate of gastroduodenal tuberculosis in patients with pulmonary tuberculosis 2. The possible cause of the rareness of duodenal tuberculosis is the relatively high acidic environment, few lymphoid tissues, and rapid transition of food material.…”

Section: Discussionmentioning

confidence: 99%

“…Cases of obstruction are mostly due to extrinsic compression by lymph nodes rather than due to an intrinsic lesion 3. Other symptoms include loss of appetite or weight (30%), upper gastrointestinal bleeding (26%), and fever or jaundice (8%) 2,5. A few cases of fistulization of the bilioduodenal, aortoduodenal, and mesenteric artery to the duodenum have been reported 5…”

Section: Discussionmentioning

confidence: 99%

“…Gastrointestinal tuberculosis is not a common disease, and it is difficult to diagnose because of its vague symptoms. Moreover, primary duodenal tuberculosis is rare, and only a few cases have been reported 2,3. We report a case of primary duodenal tuberculosis confused with a malignant tumor in a 24-year-old immunocompetent male patient without any features of pulmonary tuberculosis.…”

Section: Introductionmentioning

confidence: 99%

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A Case Report of Primary Duodenal Tuberculosis Mimicking a Malignant Tumor

Jung

Kim

et al. 2014

Clin Endosc

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A Case Report of Primary Duodenal Tuberculosis Mimicking a Malignant Tumor

Jung

Kim

et al. 2014

Clin Endosc

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“…Gastroduodenal TB is rare even in patients with pulmonary TB and on autopsy, the incidence is 0.5% 5 . Duodenal involvement contributes to only 2.5% of TB enteritis 4 .…”

Section: Discussionmentioning

confidence: 99%

Spontaneous choledochoduodenal fistula with tuberculous duodenal ulceration

Karthikeyan

Ram

et al. 2014

annals

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Spontaneous choledochoduodenal fistulas (CDFs) are rare. The most common aetiology is penetrating duodenal ulcers, observed in 80% of cases. Even in areas where acid peptic disease is common, tuberculosis should be considered as a cause, especially in developing countries like India, where tuberculosis is common. The management of CDF due to acid peptic disease is predominantly surgical while healing of tuberculous CDF has been reported with antitubercular treatment. A preoperative diagnosis of tuberculous CDF by endoscopic biopsy from the duodenal ulcer or image guided fine needle aspiration if abdominal lymph nodes are present can eliminate the need for surgery and achieve a cure with antitubercular treatment. The CDF in this case was due to caseation of periduodenal lymph nodes rupturing into the duodenum and the bile duct.

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Endoscopic diagnosis, management and outcome of gastroduodenal tuberculosis

Puri

Sachdeva

Mittal

et al. 2012

Indian J Gastroenterol

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Current guidelines for gastroduodenal tuberculosis suggest that surgery in conjunction with anti-tubercular therapy (ATT) is the primary therapy. We determined the efficacy of endoscopic balloon dilatation along with ATT as the primary treatment for this condition. Patients with gastric outlet obstruction at endoscopy seen over a two-year period underwent multiple biopsies from the involved area. Those in whom mucosal biopsy revealed non-specific inflammation, underwent endoscopic mucosal resection (EMR). Patients showing granulomatous inflammation with/without acid-fast bacilli (AFB) underwent endoscopic balloon dilatation under fluoroscopic guidance along with ATT. End point of dilatation was taken as dilatation with 18 mm balloon. The time taken to resume normal diet post endotherapy was determined. Thirteen patients were diagnosed to have gastroduodenal tuberculosis. Granulomatous inflammation with or without demonstration of AFB was documented in 92 % of the patients by endoscopic biopsy and EMR. Endoscopic balloon dilatation of the strictures was successful in 11/12 patients (92 %); these patients could resume their normal diet at a median of 11 days (range 7-60) post-dilatation. Retroperitoneal perforation in 1 patient was managed conservatively. Endoscopic therapy in combination with ATT is recommended as the first line therapy for gastroduodenal tuberculosis. Surgical intervention is reserved for the minority in whom endoscopic therapy fails.

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Primary Duodenal Tuberculosis: a Case Report

Cited by 8 publications

References 3 publications

A Case Report of Primary Duodenal Tuberculosis Mimicking a Malignant Tumor

A Case Report of Primary Duodenal Tuberculosis Mimicking a Malignant Tumor

Spontaneous choledochoduodenal fistula with tuberculous duodenal ulceration

Endoscopic diagnosis, management and outcome of gastroduodenal tuberculosis

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