Publication: Duodenal tuberculosis; uncommon cause of gastric outlet obstruction
Issued Date
2019-01-01
Resource Type
ISSN
18657265
18657257
18657257
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2-s2.0-85067884573
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Mahidol University
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SCOPUS
Bibliographic Citation
Clinical Journal of Gastroenterology. (2019)
Suggested Citation
Arunchai Chang, Tanyaporn Chantarojanasiri, Nonthalee Pausawasdi Duodenal tuberculosis; uncommon cause of gastric outlet obstruction. Clinical Journal of Gastroenterology. (2019). doi:10.1007/s12328-019-01007-4 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/52313
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Title
Duodenal tuberculosis; uncommon cause of gastric outlet obstruction
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Abstract
© 2019, Japanese Society of Gastroenterology. Gastrointestinal tuberculosis manifesting as isolated duodenal involvement is uncommon. We present a case of 52 years old man with post-prandial abdominal pain, early satiety and weight loss. Upper endoscopy showed circumferential duodenal stricture adjacent to the ampulla with nodularity, erythema, and ulcerations of the overlying mucosa causing gastric outlet obstruction. Biopsy of duodenal stricture revealed chronic duodenitis and the patient was treated with acid suppression therapy. Endoscopic balloon dilation was also performed with no response. Abdominal computer tomography scan showed multiple enlarged abdominal lymph nodes and subsequent duodenal tissue culture was positive for Mycobacterium tuberculosis. His symptoms and duodenal stricture resolved completely after treatment with anti-tuberculous regimen.