Korean J Gastrointest Endosc.
2001 Jul;23(1):36-40.
A Case of Hypertrophic Form of Duodenal Tuberculosis Mimiking Duodenal Cancer
- Affiliations
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- 1Department of Internal Medicine, Kangnam General Hospital, Public Corporation, Seoul, Korea. lshim3@unitel.co.kr
- 2Department of Pathology, Kangnam General Hospital, Public Corporation, Seoul, Korea.
Abstract
- The prevalence of intestinal tuberculosis has been markedly decreased with the development of antituberculous chemotherapy, improved economic conditions, preventive medicine and early detection and treatment of pulmonary tuberculosis. An even more impressive resurgence of pulmonary and extrapulmonary tuberculosis has been seen in recent years among persons infected with the human immunodeficiency virus. The most common site of intestinal tuberculosis is the ileocecal region, and duodenum is a rare site. Symptoms and signs of duodenal tuberculosis are nonspecific. The gross pathologic appearance of the duodenal tuberculous lesions has to its traditional categorization into three forms: 1) ulcerative, 2) hypertrophic, and 3) ulcerohypertrophic (mixed). Hypertrophic lesions of the duodenal tuberculosis should be differentiated from duodenal adenocarcinoma and lymphoma. We herein report a case of duodenal tuberculosis presenting as intraluminal protruding mass in gastroduodenoscopy and multiple intraabdominal lymphadenopathy on abdominal CT. We have confirmed the duodenal tuberculosis by endoscopic biopsy, and review the current literatures.
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