Korean J Gastrointest Endosc.  1998 Aug;18(4):567-572.

A Case of Primary Gastric Tuberculosis Diagnosed as a Submucosal Tumor

• Lee DJ
• Shon SH
• Chin YJ
• Lim CY
• Song IH
• Kim JW
• Roe IH
• Jo JH

Abstract

Gastric tuberculosis is a rare disease and is usually secondary to pulmonary or intestinal tuberculosis. Only a few cases of gastric tuberculosis have been reported in the literature. In most cases, gastric tuberculosis exists as an ulcerating lesion, whereby the clinical symptom is non-specific and similar to that of a peptic ulcer. The diagnosis af gastric tuberculosis is based on either positive histological or bacteriological study. Submucasal tumors resembling gastric tuberculosis has been reported extremely rare in incidence. In this study we report a case of a young woman admitted with intermittent abdominal pain due to gastric tuberculosis presenting as submucosal tumor in the greater curvature of the lower body. After gastric resection, a histological examination revealed chronic granulomatous inflammation with caseation necrosis which is consistent with tuberculosis. There was no evidence of the tuberculous lesion anywhere else. The patient was put on antituberculosis medications. The patient's follow-up observation in the clinic was uneventful.

Keyword

Gastric tuberculosis; Submucosal tumor; Caseation necrosis

MeSH Terms

Abdominal Pain
Diagnosis
Female
Follow-Up Studies
Humans
Incidence
Inflammation
Necrosis
Peptic Ulcer
Rare Diseases
Tuberculosis*
Ulcer