Korean Journal of Gastrointestinal Endoscopy 1998;18(4): 567-572.
증례 : 식도 위장관 ; 점막하 종양으로 표현된 원발성 위결핵 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Primary Gastric Tuberculosis Diagnosed as a Submucosal Tumor )
이대준, 손소희, 진영주, 임창영, 송일한, 김정원, 노임환, 조정희 (Dae Jun Lee, So Hee Shon, Yeong Joo Chin, Chang Young Lim, Il Han Song, Jung Won Kim, Im Hwan Roe and Jung Hee Jo)
Abstract
Gastric tuberculosis is a rare disease and is usually secondary to pulmonary or intestinal tuberculosis. Only a few cases of gastric tuberculosis have been reported in the literature. In most cases, gastric tuberculosis exists as an ulcerating lesion, whereby the clinical symptom is non-specific and similar to that of a peptic ulcer. The diagnosis af gastric tuberculosis is based on either positive histological or bacteriological study. Submucasal tumors resembling gastric tuberculosis has been reported extremely rare in incidence. In this study we report a case of a young woman admitted with intermittent abdominal pain due to gastric tuberculosis presenting as submucosal tumor in the greater curvature of the lower body. After gastric resection, a histological examination revealed chronic granulomatous inflammation with caseation necrosis which is consistent with tuberculosis. There was no evidence of the tuberculous lesion anywhere else. The patient was put on antituberculosis medications. The patient's follow-up observation in the clinic was uneventful. (Korean J Gastrointest Endosc 18: 567-572, 1998)
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