Korean J Gastroenterol.
2002 Jun;39(6):420-423.
Duodenal Tuberculosis Presenting with Recurrent Duodenal Bleeding
- Affiliations
-
- 1Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea. hyunchae@plaza.snu.ac.kr
- 2Department of Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea.
Abstract
- Duodenal tuberculosis is even rare in endemic areas of tuberculosis. Duodenal tuberculosis presenting with massive bleeding is extremely rare. We experienced a case of duodenal tuberculosis in a 57-year-old man with diabetic end stage renal disease, who had presented with massive hematochezia. The patient had been treated with angiographic embolization and anti-ulcer medication but presented with melena, high fever, multiple lymphadenopathy 3 months later. He was diagnosed as having duodenal tuberculosis by endoscopic biopsy. We found mycobacteria in the endoscopic biopsy specimen of his duodenum. He improved dramatically with antituberculous chemotherapy. Our case shows that CRP is a good marker of early response to antituberculous chemotherapy. Here, we report the clinical presentation, acute treatment-response, and results of endoscopic, radiologic, and pathologic examinations of duodenal tuberculosis.
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