Isolated Gastro-Duodenal Tuberculosis Mimics Peptic Ulcer Disease in a Young Female

Authors

  • Mohammad Quamrul Hasan Associate Professor, Department of Gastroenterology, Enam Medical College & Hospital, Savar, Dhaka
  • Nelson Taposh Mondal Former Associate Professor, Department of Medicine, Enam Medical College & Hospital, Savar, Dhaka
  • Md Haroon ur Rashid Associate Professor, Department of Pulmonology, Enam Medical College & Hospital, Savar, Dhaka
  • Rukhsana Parvin Professor, Department of Medicine, Enam Medical College & Hospital, Savar, Dhaka
  • Irin Perveen Professor, Department of Gastroenterology, Enam Medical College & Hospital, Savar, Dh

DOI:

https://doi.org/10.3329/jemc.v9i3.43250

Keywords:

Gastro-duodenal tuberculosis; Peptic ulcer; Anti-tubercular chemotherapy

Abstract

Intestinal tuberculosis (TB) most commonly affects ileo-caecal region. Isolated gastric and duodenal involvement without pulmonary infection is rare. The presentation of these patients varies. Patients may present with haematemesis, non-healing chronic ulcer, mimicking malignancy, gastric perforation and gastric outlet obstruction. High degree of suspicion is needed for early diagnosis of gastro-duodenal TB. A young female patient who was being treated as a case of nonhealing chronic ulcer was referred for treatment. Histopathological examination of endoscopic biopsy specimen of the patient showed presence of granulomas composed of epitheloid cells and Langhan’s giant cells with caseation with no evidence of tuberculosis at pulmonary or other body sites. After anti-tubercular chemotherapy there was resolution of symptoms and healing of ulcers. This case of isolated gastro-duodenal TB is reported for its rarity.

J Enam Med Col 2019; 9(3): 189-192

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Published

2019-09-22

How to Cite

Hasan, M. Q., Mondal, N. T., Rashid, M. H. ur, Parvin, R., & Perveen, I. (2019). Isolated Gastro-Duodenal Tuberculosis Mimics Peptic Ulcer Disease in a Young Female. Journal of Enam Medical College, 9(3), 189–192. https://doi.org/10.3329/jemc.v9i3.43250

Issue

Vol. 9 No. 3 (2019)

Section

Case Reports

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