Korean J Gastrointest Endosc.  2000 Aug;21(2):638-641.

A Case of the Duodenal Tuberculosis Presenting as Hematemesis

• Ha HS
• Lee DH
• Park SJ
• Kim EK
• Chung NW
• Seong EY
• Ko WS
• Choi IS
• Song CS
• Shin YK
• Kang KH

Abstract

Despite the modern advance in effective chemotherapy, gastrointestinal tuberculosis is considered to be relatively frequent in developing countries. The ileocecal region is the most common site of intestinal tuberculosis and duodenal involvement is rare. The isolated duodenal tuberculosis are reported 9 cases in Korea. The symptoms and signs of gastrointestinal tuberculosis are nonspecific and vague. In the absence of pulmonary tuberculosis, the diagnosis may be difficult. Pain and vomiting are common symptoms of duodenal tuberculosis. Patients may present with upper gastrointestinal bleeding. Therefore, tuberculosis should be considered in the differential diagnosis of gastrointestinal bleeding. We herein report a case of duodenal tuberculosis presenting as hematemesis and necessitating hospitalization. After anti-tuberculosis therapy, we have confirmed the healing of the lesion by the follow-up endoscopy, and review the current literature.

Keyword

Duodenal tuberculosis; Hematemesis

MeSH Terms

Developing Countries
Diagnosis
Diagnosis, Differential
Drug Therapy
Endoscopy
Follow-Up Studies
Hematemesis*
Hemorrhage
Hospitalization
Humans
Korea
Tuberculosis*
Tuberculosis, Gastrointestinal
Tuberculosis, Pulmonary
Vomiting