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Panacea Journal of Medical Sciences


Primary gastric tuberculosis causing gastric outlet obstruction: A case report


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Author Details : Bansod A, Kulkarni A, Lanjewar S, Bodade R, Bansod S, Singh K

Volume : 5, Issue : 1, Year : 2015

Article Page : 40-42


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Abstract

Ileo-caecal junction is the most common site of abdominal tuberculosis. Isolated primary gastric tuberculosis is very rare. Our case was a 44-year-old female with complaints of vomiting and epigastric distension after meals since 18 months. There was no other positive history. Her gastroscopy revealed pyloric stenosis with 5-6 ulcers in pre-pyloric region which were thought to be stasis ulcers. A distal partial gastrectomy with Roux-en-Y gastro-jejunostomy was done. The histopathology of the specimen revealed caseous necrosis with epitheloid granulomas and Langhan’s giant cells which gave the diagnosis of tuberculosis. Patient was registered under Category I of Directly Observed Treatment, Short-course.


Keywords: Gastric tuberculosis, Caseous necrosis, Langhan’s giant cells.

How to cite : Bansod A, Kulkarni A, Lanjewar S, Bodade R, Bansod S, Singh K, Primary gastric tuberculosis causing gastric outlet obstruction: A case report. Panacea J Med Sci 2015;5(1):40-42

Copyright © 2015 by author(s) and Panacea J Med Sci. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC-BY-NC 4.0) (creativecommons.org)