J Korean Surg Soc.
2000 Oct;59(4):548-553.
Gastric Tuberculosis: A case report
- Affiliations
-
- 1Department of Surgery, College of Medicine, The Catholic University of Korea.
- 2Department of Clinical Pathology, College of Medicine, The Catholic University of Korea.
Abstract
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A 34-year-old female presented with persistent indigestion and epigastric pain for several weeks. Upper
GI series and abdominal CT revealed a submucosal tumor in the antrum of the stomach. Gastrofi
beroscopy revealed a multi-lobulated protruding mass in the proximal antrum. Endoscopic biopsies were
consistent with chronic inflammation with a focal ill-defined granulomatous area and lymphoid
aggravation. At the time of operation, a hard mass was palpated at the greater curvature side of the
proximal antrum, and large lymph nodes were noted along the gastroepiploic vessels. Biopsies of the
wall of the stomach and the lymph nodes demonstrated caseous granulomas. Cultures for acid-fast bacilli
subsequently grew Mycobacterium tuberculosis. Gastric tuberculosis remains an extremely rare clinical
entity. We experienced a case of gastric tuberculosis, so we report it with a review of some articles.