Primary gastroduodenal tuberculosis presenting as gastric outlet obstruction: A case report and review of literature
Mycobacterium tuberculosis (TB) is the causative agent of TB, a chronic granulomatous 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, leadi...
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| Published in: | World journal of clinical cases Vol. 12; no. 8; pp. 1536 - 1543 |
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16-03-2024
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| Abstract | Mycobacterium tuberculosis (TB) is the causative agent of TB, a chronic granulomatous 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 obstruction (GOO) remains a frequent complication, its incidence has declined with the advent of proton pump inhibitors and
eradication therapy. Gastroduodenal TB can cause upper gastrointestinal hemorrhage, obstruction, and malignancy-like tumors.
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.
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. |
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| AbstractList | Mycobacterium tuberculosis (TB) is the causative agent of TB, a chronic granulomatous 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 obstruction (GOO) remains a frequent complication, its incidence has declined with the advent of proton pump inhibitors and
eradication therapy. Gastroduodenal TB can cause upper gastrointestinal hemorrhage, obstruction, and malignancy-like tumors.
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.
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. BACKGROUND Mycobacterium tuberculosis (TB) is the causative agent of TB, a chronic granulomatous 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 obstruction (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. |
| Author | Saydam, Tuba Abdullahi, Ismail Mohamud Ali, Abdihamid Mohamed Mohamed, Yahye Garad Mohamed, Abdulkadir Nor Ahmed, Mohamed Rage Mohamud, Abdirahman Ahmed |
| Author_xml | – sequence: 1 givenname: Abdihamid Mohamed surname: Ali fullname: Ali, Abdihamid Mohamed email: abdihamidmohamed10@gmail.com organization: Department of General Surgery, Mogadishu Somali Turkey Recep Tayyip Erdogan Training and Research Hospital, Mogadishu 2526, Somalia. abdihamidmohamed10@gmail.com – sequence: 2 givenname: Yahye Garad surname: Mohamed fullname: Mohamed, Yahye Garad organization: Department of Radiology, Mogadishu Somali Turkey, Training and Research Hospital, Mogadishu 2526, Somalia – sequence: 3 givenname: Abdirahman Ahmed surname: Mohamud fullname: Mohamud, Abdirahman Ahmed organization: Department of General Surgery, Mogadishu Somali Turkey Recep Tayyip Erdogan Training and Research Hospital, Mogadishu 2526, Somalia – sequence: 4 givenname: Abdulkadir Nor surname: Mohamed fullname: Mohamed, Abdulkadir Nor organization: Department of General Surgery, Mogadishu Somali Turkey Recep Tayyip Erdogan Training and Research Hospital, Mogadishu 2526, Somalia – sequence: 5 givenname: Mohamed Rage surname: Ahmed fullname: Ahmed, Mohamed Rage organization: Department of General Surgery, Mogadishu Somali Turkey Recep Tayyip Erdogan Training and Research Hospital, Mogadishu 2526, Somalia – sequence: 6 givenname: Ismail Mohamud surname: Abdullahi fullname: Abdullahi, Ismail Mohamud organization: Department of Pathology, Mogadishu Somali Turkey Recep Tayyip Erdogan Training and Research Hospital, Mogadishu 2526, Somalia – sequence: 7 givenname: Tuba surname: Saydam fullname: Saydam, Tuba organization: Department of General Surgery, Mogadishu Somali Turkey Recep Tayyip Erdogan Training and Research Hospital, Mogadishu 2526, Somalia |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/38576818$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1177/1179552218790566 10.1080/17474124.2020.1816823 10.7860/JCDR/2015/13350.5887 10.47162/RJME.62.4.19 10.1016/j.gtc.2021.02.004 10.1016/j.amsu.2021.102392 10.1111/j.1365-2303.2003.00119.x 10.29271/jcpsp.2020.02.129 10.1186/s12876-023-02887-0 10.3389/fcimb.2018.00158 10.1007/978-3-031-07040-2_9 10.1111/j.1463-1318.2007.01337.x 10.5009/gnl210327 10.1097/MPG.0b013e3181b6a57b 10.3748/wjg.v20.i40.14831 10.4236/ojrd.2016.62003 10.1371/journal.pone.0243945 10.1016/j.ijsu.2016.08.014 10.3329/bjm.v33i2.59285 10.7759/cureus.49436 10.1016/j.disamonth.2006.10.004 10.1136/bcr-2012-008277 10.1016/j.ijscr.2023.108080 |
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| Copyright | The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved. The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved. 2024 |
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| Issue | 8 |
| Keywords | Case report Tuberculosis Gastric outlet obstruction Gastrointestinal tuberculosis Gastroduodenal tuberculosis |
| Language | English |
| License | The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved. This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
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| Notes | Author contributions: Upon the patient's admission, Ali AM, Mohamed AN, and Ahmed MR conducted relevant investigations and provided postoperative follow-up. The manuscript was written by Mohamed YG and Ali AM, who contributed to drafting, English editing, design, and coordination; All authors reviewed and approved the final version. Corresponding author: Abdihamid Mohamed Ali, MBChB, MD, MMed, Academic Editor, Academic Research, Lecturer, Department of General Surgery, Mogadishu Somali Turkey Recep Tayyip Erdogan Training and Research Hospital, Hodan Street, Mogadishu 2526, Somalia. abdihamidmohamed10@gmail.com |
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| Snippet | Mycobacterium tuberculosis (TB) is the causative agent of TB, a chronic granulomatous illness. This disease is prevalent in low-income countries, posing a... BACKGROUND Mycobacterium tuberculosis (TB) is the causative agent of TB, a chronic granulomatous illness. This disease is prevalent in low-income countries,... |
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| Title | Primary gastroduodenal tuberculosis presenting as gastric outlet obstruction: A case report and review of literature |
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