Korean J Intern Med.  2006 Mar;21(1):62-67. 10.3904/kjim.2006.21.1.62.

A Case of Gastric Tuberculosis Mimicking Advanced Gastric Cancer

• Kim SE
• Shim KN
• Yoon SJ
• Jung SA
• Kim TH
• Yoo K
• Moon IH

• KMID: 1782255
• DOI: http://doi.org/10.3904/kjim.2006.21.1.62

Abstract

Tuberculosis of the stomach is quite rare, both as a primary or secondary infection. It can present as a facet of a multiorgan disease process or may result from immunodeficiency. Here, we report a rare, interesting case of gastric tuberculosis which morphologically mimicked advanced gastric cancer in a young, immunocompetent patient presenting with hematemesis and melena. The disease was diagnosed by biopsy, and responded well to antituberculosis medication without surgery. Clinicians must bear in mind that, even in the absence of immunodeficiency, as in this case, tuberculosis can involve any site in the gastrointestinal tract and may present with a variety of characteristics. Gastric tuberculosis should always be part of the differential diagnosis of chronic infiltrative lesions in the stomach.

Keyword

Gastric tuberculosis; Hematemesis; Mass

MeSH Terms

Tuberculosis, Gastrointestinal/*diagnosis/physiopathology
Stomach Neoplasms/*diagnosis/physiopathology
Male
Humans
Diagnosis, Differential
Antitubercular Agents/therapeutic use
Adult