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Duodenal tuberculosis; uncommon cause of gastric outlet obstruction

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Abstract

Gastrointestinal tuberculosis manifesting as isolated duodenal involvement is uncommon. We present a case of 52 years old man with post-prandial abdominal pain, early satiety and weight loss. Upper endoscopy showed circumferential duodenal stricture adjacent to the ampulla with nodularity, erythema, and ulcerations of the overlying mucosa causing gastric outlet obstruction. Biopsy of duodenal stricture revealed chronic duodenitis and the patient was treated with acid suppression therapy. Endoscopic balloon dilation was also performed with no response. Abdominal computer tomography scan showed multiple enlarged abdominal lymph nodes and subsequent duodenal tissue culture was positive for Mycobacterium tuberculosis. His symptoms and duodenal stricture resolved completely after treatment with anti-tuberculous regimen.

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Authors and Affiliations

  1. Division of Gastroenterology, Department of Internal Medicine, Hatyai Hospital, Hatyai, Songkla, Thailand

    Arunchai Chang

  2. Division of Gastroenterology, Department of Internal Medicine, Rajavithi Hospital, Bangkok, Thailand

    Tanyaporn Chantarojanasiri

  3. Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand

    Nonthalee Pausawasdi

Authors
  1. Arunchai Chang
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  2. Tanyaporn Chantarojanasiri
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  3. Nonthalee Pausawasdi
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Correspondence to Nonthalee Pausawasdi.

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Arunchai Chang, Tanyaporn Chantarojanasiri and Nonthalee Pausawasdi declare that they have no conflict of interest.

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All procedures followed have been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.

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Chang, A., Chantarojanasiri, T. & Pausawasdi, N. Duodenal tuberculosis; uncommon cause of gastric outlet obstruction. Clin J Gastroenterol 13, 198–202 (2020). https://doi.org/10.1007/s12328-019-01007-4

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  • DOI: https://doi.org/10.1007/s12328-019-01007-4

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