Korean Journal of Gastrointestinal Endoscopy 2000;21(6): 938-942.
상부 위장관 출혈을 동반한 위결핵 1예 ( A Case of Gastric Tuberculosis Presenting with Hematemesis )
구진하(Jin Ha Goo),심상군(Sang Goon Shim),이경수(Gyung Soo Lee),성인경(In Gyung Sung),류봉춘(Bong Choon Ryu),문원(Won Moon),이상수(Sang Soo Lee),박동일(Dong Il Park),김영호(Young Ho Kim),이풍렬(Poong Ryul Lee),김재준(Jae Joon Kim),백승운(Seung Woon Baek),이종철(Jong Chul Lee),최규완(Gyu Wan Choi)
Abstract
Gastric tuberculosis is quite rare and usually combined with pulmonary tuberculosis. Its diagnosis is so difficult as it is often unsuspected, We report a patient with gastric tuberculosis who presented with hematemesis in Korea, Upper endoscopy showed large, deep penetrating ulcer containing an exposed vessel and adherent clot in the body. Gastric biopsies revealed only chronic inflammation and no evidence of granuloma or malignancy. Diffuse mural thickening was noted on abdominal CT. The diagnosis was made postoperatively following gastrectomy for bleeding gastric ulcer. Microscopic examination of resected stomach showed peptic detritus and noncaseating granulomas. However, multiple caseating granulomas with Lagerhan's giant cells were found on the examination of lymph nodes. The patient was treated with antituberculous therapy for 12 months without any complications.
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