%0 Journal Article
%T Isolated Gastro-Duodenal Tuberculosis Mimics Peptic Ulcer Disease in a Young Female
%A Irin Perveen
%A Md Haroon ur Rashid
%A Mohammad Quamrul Hasan
%A Nelson Taposh Mondal
%A Rukhsana Parvin
%J Journal of Enam Medical College
%D 2019
%R https://doi.org/10.3329/jemc.v9i3.43250
%X Intestinal tuberculosis (TB) most commonly affects ileo-caecal region. Isolated gastric and duodenal involvement without pulmonary infection is rare. The presentation of these patients varies. Patients may present with haematemesis, non-healing chronic ulcer, mimicking malignancy, gastric perforation and gastric outlet obstruction. High degree of suspicion is needed for early diagnosis of gastro-duodenal TB. A young female patient who was being treated as a case of nonhealing chronic ulcer was referred for treatment. Histopathological examination of endoscopic biopsy specimen of the patient showed presence of granulomas composed of epitheloid cells and Langhan¡¯s giant cells with caseation with no evidence of tuberculosis at pulmonary or other body sites. After anti-tubercular chemotherapy there was resolution of symptoms and healing of ulcers. This case of isolated gastro-duodenal TB is reported for its rarity
%U https://www.banglajol.info/index.php/JEMC/article/view/43250