Primary gastroduodenal tuberculosis presenting as gastric outlet obstruction:A case report and review of literature  

作　　者：Abdihamid Mohamed Ali Yahye Garad Mohamed Abdirahman Ahmed Mohamud Abdulkadir Nor Mohamed Mohamed Rage Ahmed Ismail Mohamud Abdullahi Tuba Saydam 

机构地区：[1]Department of General Surgery,Mogadishu Somali Turkey Recep Tayyip Erdogan Training and Research Hospital,Mogadishu 2526,Somalia [2]Department of Radiology,Mogadishu Somali Turkey,Training and Research Hospital,Mogadishu 2526,Somalia [3]Department of Pathology,Mogadishu Somali Turkey Recep Tayyip Erdogan Training and Research Hospital,Mogadishu 2526,Somalia

出　　处：《World Journal of Clinical Cases》2024年第8期1536-1543,共8页世界临床病例杂志

摘　　要：BACKGROUND Mycobacterium tuberculosis(TB)is the causative agent of TB,a chronic granulo-matous illness.This disease is prevalent in low-income countries,posing a significant global health challenge.Gastrointestinal TB is one of the three forms.The disease can mimic other intra-abdominal conditions,leading to delayed diagnosis owing to the absence of specific symptoms.While gastric outlet obs-truction(GOO)remains a frequent complication,its incidence has declined with the advent of proton pump inhibitors and Helicobacter pylori eradication therapy.Gastroduodenal TB can cause upper gastrointestinal hemorrhage,obstruction,and malignancy-like tumors.CASE SUMMARY A 23-year-old male presented with recurrent epigastric pain,distension,nausea,vomiting,and weight loss,prompting a referral to a gastroenterologist clinic.Endoscopic examination revealed distorted gastric mucosa and signs of chronic inflammation.However,treatment was interrupted,possibly owing to vomiting or comorbidities such as human immunodeficiency virus infection or diabetes.Subsequent surgical intervention revealed a dilated stomach and diffuse thickening of the duodenal wall.Resection revealed gastric wall effacement with TB.CONCLUSION Primary gastric TB is rare,frequently leading to GOO.Given its rarity,suspicions should be promptly raised when encountering relevant symptoms,often requiring surgical intervention for diagnosis and treatment.

关 键 词：TUBERCULOSIS Gastrointestinal tuberculosis Gastric outlet obstruction Gastroduodenal tuberculosis Case report 

分 类 号：R735.2[医药卫生—肿瘤]