Korean Journal of Gastrointestinal Endoscopy 1995;15(3): 515-521.
증례 : 유문부협착을 동반한 위결핵 1예 ( Case Reports : A Case of Pyloric Obstruction Due to Gastric Tuberculosis )
김영수, 신용운, 이진우, 장동섭, 문태훈, 송기산, 정석, 조영업, 주영채 (Young Soo Kim, Yong Woon Shin, Jin Woo Lee, Dong Seob Jang, Tai Hoon Moon, Kee San Song, Seok Jung, Young Up Cho and Young Chai Chu)
Abstract
Gastric tuberculosis is a rare disease. It usually occurs secondarily to another lesions and mainly in the lungs. Only a few cases of primary gastric tuberculosis have been reported in the literature. Most commonly, gastric tuberculosis lesion locates in the lesser curvature side of the antrum. Therefore the clinical picture is similar to the peptic ulcer. A 24-year-old women visited to the Inha university hospital complaining of vomiting and epigastric discomfort. Gastrofiberscopy showed multiple polypoid mass around the pylorus with stenotic pyloric channel. Subtotal gastrectomy was performed and histologic examination revealed chronic granulomatous inflammation with caseation necrosis. That is compatible with tuberculosis. The patient was taken antituberculosis medication without complication. So we report the case of pyloric obstruction due to gastric tuberculosis with review of the literature.
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