Duodenal tuberculosis mimicking a malignant tumor - a case report (original) (raw)
Related papers
2013
Gastrointestinal tuberculosis occurs most often in the ileocecal region, but it can also occur in other locations in the gastrointestinal system. However, few cases with isolated gastrointestinal involvement have been reported. A 27-year-old female presented with abdominal pain, fatigue, weakness, weight loss, and anorexia. A mass was identified in her right lower abdominal quadrant on physical examination. Abdominal computed tomography (CT) showed a thickened right colon wall with marked narrowing of the lumen, and mucosal ulcers at the hepatic flexure and circular narrowing of the lumen 10cm distal to these lesions were identified on colonoscopic examination. Laparoscopic right hemicolectomy was performed due to the fact that malignancy could not be rule out. Gastrointestinal tuberculosis is often confused with inflammatory diseases, and even histopathological diagnosis is difficult in most cases. In addition to this, differentiation between malignancies and infectious diseases is...
Colonic Tuberculosis Mimicking Ascending Colon Neoplasm: A Case Report
European Journal of Medical and Health Sciences
Tuberculosis is still a worldwide public health concern especially in developing countries. Extrapulmonary tuberculosis including abdominal tuberculosis is known as the great mimicker and usually delayed due to its nonspecific clinical presentation. A-30 years old male patient presented to our hospital with 5-months history of persistent lower right-sided abdominal pain, anorexia, and weight loss. Computed tomography scan of the abdomen suggested malignant mass of ascending colon. Chest x-ray showed suprahilar right lung fibro-infiltrates suggested lung tuberculosis. Colonoscopy was performed which revealed tumor of the hepatica flexure Biopsy was taken from colonoscopy showed non-specific colitis results. Surgery was performed due to suspicious of ascending colon malignancy. Histopathological evaluation of colon biopsy revealed features of caseating granulomas and Langerhans giant cells that consistent with tuberculosis. A diagnosis of colonic tuberculosis was concluded and the pat...
Abdominal tuberculosis mimicking intra-abdominal malignancy: A case report
The Nigerian Health Journal, 2015
Background: Abdominal TB usually presents with nonspecific findings and may thus mimic a multitude of gastrointestinal disorders. Abdominal tuberculosis may therefore present as large and palpable intra-abdominal masses usually arising from lymphadenopathy which may mimic lymphomas and other malignancies. We present the report of a patient with suspected abdominal malignancy diagnosed with abdominal tuberculosis. Methods: The case records of a patient who presented at the university of Port Harcourt Teaching hospital, medical unit with an abdominal mass diagnosed with abdominal Tb and a review of the literature utilizing google, PubMed, medline and existing literature was utilized. Results: Abdominal Tb is a major contributor to the burden of EPTb with reports of increasing incidence. Based on the wide spectrum of symptoms and signs originating from various parts of the abdomen the disease may be misdiagnosed. Conclusion: In conclusion abdominal Tb still remains a disease which ...
Duodenal Tuberculosis – A Rare Case Report and Review of Literature
Polish Journal of Surgery, 2013
Extrapulmonary tuberculosis is rare and often difficult to diagnose infection. We report a case of duodenal tuberculosis, who presented with upper gastrointestinal symptoms. There was evidence of obstruction in the third part of duodenum (D3) on oesophagogastro endoscopy, barium meal follow through and CT scan of abdomen. On exploration there was thickening of D3 and D4 causing luminal obstruction. Resection of stricturous segment with end-to-side duodenojejunostomy was done. Biopsy of the diseased segment was tubercular. Antitubercular treatment was given to the patient for 6 months and he is doing well on follow up (1 year after surgery). Duodenal tuberculosis being the rarest form of intestinal tuberculosis poses great difficulty in diagnosis. High index of suspicion supported by radiological investigation, exploratory laparotomy and histopathological examination of the tissue can only lead to a definitive diagnosis of this rare condition. Treatment is both surgical which involves resection or bypass for an obstructive lesion and medical which includes antitubercular therapy.
Case Report: A case of tuberculosis lymphadenitis mimicking a gastric tumor
F1000Research, 2021
Solitary tuberculosis of the upper gastrointestinal tract is a rare pathology that usually mimics the clinical and radiological features of malignant tumors. A gastric subepithelial tumor is usually detected during diagnostic endoscopy. Stomach tuberculosis, in particular, can appear as a subepithelial tumor of the stomach wall. Several cases of gastric tuberculosis imitating subepithelial gastric tumors have been reported recently. We describe the case of a patient with tuberculous lymphadenitis that mimics a submucosal gastric tumor. A 52-year-old female was admitted to our surgical department for epigastric pain and weight loss. Endoscopy was inconclusive; it revealed either a submucosal compression or an anterior submucosal lesion with erosive anterior gastropathy and a fistulous orifice located in the bulb. The patient was diagnosed with a gastric tumor and an endoscopic ultrasound demonstrated a rounded hypoechogenic antral lesion that was not vascularized and was distant from...
Primary duodenal tuberculosis - A rare case report
Journal of Pathology of Nepal, 2018
Gastroduodenal tuberculosis is uncommon even in parts of world where tuberculosis is endemic and accounts for 2.3 % of abdominal tuberculosis. We present here a case of duodenal tuberculosis who presented with vomiting, pain abdomen and weight loss. Duodenoscopy revealed mucosal ulceration and nodularity with marked enlarged and erythematous surrounding folds. Histopathology of duodenum showed features of tuberculosis.
Journal of Surgical Case Reports
Intestinal tuberculosis (TB) is a rare condition comprising a majority of the extra-pulmonary TB cases. Owing to a similar clinical presentation, ultrasonographic and biopsy findings of intestinal TB with that of other abdominal pathologies such as carcinoma colon, their clinical delineation is very difficult unless aided with other modalities of investigations such as colonoscopy, culture of the biopsy material, etc. and even advanced methods such as polymerase chain reaction and gene X-pert of the biopsy material. Having all these investigations may not even lead to a correct diagnosis of intestinal TB as evidenced in the reported cases in the literature, advocating the need of diagnostic laparoscopy in the diagnosis of intestinal TB to eliminate extensive and unnecessary surgeries. Here, we present a case of intestinal TB in a 51-year-gentleman who got diagnosed in the course of treatment for a suspected carcinoma colon.
A Case of Tuberculosis Lymphadenitis Mimicking Gastric Tumor
2021
Introduction: Solitary tuberculosis of the upper gastrointestinal tract is a rare pathology that usually mimics the clinical and radiological features of malignant tumors. A gastric subepithelial tumor is usually detected during diagnostic endoscopy. Stomach tuberculosis, in particular, can appear as a subepithelial tumor of the stomach wall. Several cases of gastric tuberculosis imitating subepithelial tumor gastric have been reported recently. Case report: We describe a case of a Patient with tuberculous lymphadenitis that mimics the submucosal gastric tumor. A 52-year-old female was admitted to our department; endoscopy revealed a submucosal compression or anterior submucosal lesion, erosive anterior gastropathy, and a fistulous orifice located in the bulb. The patient was diagnosed with a gastric tumor and Endoscopic ultrasound demonstrated a rounded antral lesion, hypoechogenic, not vascularized, that is distant from the gastric wall whose 5 layers appear of normal aspect. The ...
A Case of Tuberculosis Mimicking Colon Cancer
Turkish Journal of Colorectal Disease, 2017
Tüm dünyada tüberküloz (TB) insidansı giderek artmaktadır. Daha sıklıkla pulmoner tutulum izlense de hastaların %3'ü abdominal tutulum ile başvurmaktadır ve malignite ile ayırıcı tanısı yapılması gerekmektedir. Abdominal TB'de klinik prezentasyon karın ağrısı, ishal, ateş, kilo kaybı şeklinde olup Crohn hastalığı ve gastrointestinal sistem maligniteleri ile ayırıcı tanı yapmak zordur. Bu yazıda klinik ve görüntüleme yöntemlerinde kolon tümörü ile karışabilecek çekal TB hastasını bildirmeyi amaçladık.