ISOLATED GASTRIC TUBERCULOSIS MASQUERADING AS CHRONIC PEPTIC ULCER: A CASE REPORT
Journal Title: International Journal of Medical Research & Health Sciences (IJMRHS) - Year 2015, Vol 4, Issue 4
Abstract
Abdominal Tuberculosis (TB) most commonly affects ileo-caecal region. Isolated stomach involvement by TB, without pulmonary infection is rare. Clinical presentation of Stomach TB may be non-specific, radiological findings non-contributory and superficial endoscopic biopsies may not be able to settle the diagnosis. Many cases are diagnosed only after histopathological examination of surgical specimens. High degree of suspicion is needed for early diagnosis of gastric tuberculosis, if unnecessary surgical interventions are to be avoided. A young patient who was being treated as a case of chronic peptic ulcer for one year was referred for treatment of gastric outlet obstruction. Histopathological examination of gastrectomy specimen of the patient showed multiple caseating granulomas characteristic of tuberculosis and presence of acidfast bacilli on Fite-Faraco staining, with no evidence of tuberculosis at pulmonary or other body sites. This case of isolated gastric TB is reported for its rarity.
Authors and Affiliations
Poflee Sandhya V| Assistant Professor, Department of Pathology, IGGMC, Nagpur, Maharashtra, India, Poflee Sandhya V 1 Assistant Professor, Department of Pathology, IGGMC, Nagpur, Maharashtra, India Email: spoflee@yahoo.com, Baste Balaji D| Resident, Department of Pathology, IGGMC, Nagpur, Maharashtra, India, Umap Pradeep S| Associate Professor, Department of Pathology, IGGMC, Nagpur, Maharashtra, India, Shrivastava Alok C| Associate Professor, Department of Pathology, IGGMC, Nagpur, Maharashtra, India
Keywords
Related Articles
- EP ID EP11492
- DOI 10.5958/2319-5886.2015.00180.0
- Views 257
- Downloads 9
BILATERAL STEROID INDUCED GLAUCOMA IN VERNAL KERATOCONJUNCTIVITIS
VKC is a bilateral recurrent allergic interstitial conjunctival inflammation with a periodic seasonal incidence and of self limiting nature, mainly affecting the younger population. Patients of VKC on steroid therapy ar...
The Evaluation of Hospital Discharge Plan effects on the Self-caring Ability of the Patients Suffering Type-2 Diabetes: A Randomized Clinical Trial
Diabetes is one of the chronic diseases causing the deaths in human societies. Since the patients suffering diabetes are prone to many complications, self-care will be one of the most effective ways to prevent these com...
Epidemiological Aspects of Surgical Site Infections in an Income Country: The Case of Regional Hospital Centre, Borgou (Benin)
Background: Surgical site infection is frustrating for the care team and depressing for the patient. Objective: To determine the epidemiological aspects of surgical site infections in regional hospital, Borgou. Methods:...
OXIDATIVE STRESS AND ANTI OXIDANTS STATUS IN PELLAGRA
Background and objectives: Pellagra was vanished from most parts of the world where it was formerly present due to its dietary modification. However, it is still encountered among the jowar eating populations of India....
An Interesting Case of Iatrogenic May-thurner like syndrome
Deep vein thrombosis secondary to compression of left common iliac vein by right common iliac artery known as “May-thurner syndrome†is a well known entity. However compression of vein by nearby other structures is...