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2013 | 85 | 8 | 464-466
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Duodenal Tuberculosis – A Rare Case Report and Review of Literature

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Extrapulmonary tuberculosis is rare and often difficult to diagnose infection. We report a case of duodenal tuberculosis, who presented with upper gastrointestinal symptoms. There was evidence of obstruction in the third part of duodenum (D3) on oesophagogastro endoscopy, barium meal follow through and CT scan of abdomen. On exploration there was thickening of D3 and D4 causing luminal obstruction. Resection of stricturous segment with end-to-side duodenojejunostomy was done. Biopsy of the diseased segment was tubercular. Antitubercular treatment was given to the patient for 6 months and he is doing well on follow up (1 year after surgery). Duodenal tuberculosis being the rarest form of intestinal tuberculosis poses great difficulty in diagnosis. High index of suspicion supported by radiological investigation, exploratory laparotomy and histopathological examination of the tissue can only lead to a definitive diagnosis of this rare condition. Treatment is both surgical which involves resection or by-pass for an obstructive lesion and medical which includes antitubercular therapy
Physical description
1 - 08 - 2013
05 - 09 - 2013
  • Department of General Surgery, PGIMER, Chandigarh
  • Department of Radiodiagnosis, PGIMER, Chandigarh
  • Department of General Surgery, PGIMER, Chandigarh
  • Department of Medical Gastroenterology, PGIMER, Chandigarh
  • Department of Medical Gastroenterology, PGIMER, Chandigarh
  • Department of General Surgery, PGIMER, Chandigarh
  • 1. Reader MM , Philip ES P: Infections and infestations.
  • In Margulis RA, Burbene JH, eds. Alimentary tract radiology. St Louis: CV Mosby 1989; 1478-79.
  • 2. Paustian FF : Marshall JB. Intestinal tuberculosis. In Berk EJ, Haubrich WS, Kaiser MH. et al eds. Gastroenterology, vol. 3. Philadelphia: W13 Saunders. 1985; 2018-36.
  • 3. Rehman A, Saeed A, Jamil Ketal.: Hypertrophic pyloroduodenal tuberculosis. J Coll Physician SurgPak 2008; 18 (8): 509-11.
  • 4. Gupta I, Parihar A, Dev G, GilIani Z: Duodenal Tuberculosis. JK Science 2001; 3 (3): 132-34.
  • 5. Berney T, Badaoui E, Tötsch Metal.: Duodenal tuberculosis presenting as acute ulcer perforation. American J Gastroenterol 1998; 93: 1572-10241.
  • 6. Flores HB, Zano F, Ang EL , Estanislao N: Duodenal tuberculosis presenting as gastric outlet obstruction: A case report. W J Gastrointest Endosc 2011; 3(1): 16-19.
  • 7. Primary duodenal tuberculosis presenting as gastric-outlet obstruction-is pathological diagnosis always possible? World J Surg Research 2012; 1: 12-16.
  • 8. Misra D, Rai RR , Nandy Setal.: Duodenal tuberculosis presenting as bleeding peptic ulcer. AntJ Gastroenterol 1988; 83: 203-04.
  • 9. Smith DR : Kidney infections. In: Smith DR, ed. General urology. California: Lange Medical Publications. 1979; 397-98.
  • 10. Schwartz PT, Garner HA, Lattimer JK et al.: Pyloduodenal fistula due to tuberculosis. J Ural 1970; 104: 373-75.
  • 11. Edic DGA, Pollock DS : A complicated aortoduodenal fistula. Br J Surg 1968; 55: 314-17.
  • 12. Duodenocholedochal fistula. Journal of Gastroenteroland Hepatology 2001; 16(2): 235-38.
  • 13. Aftab H, Hasan M, Rahman MT et al.: Isolated duodenal tuberculosis- a case report and literature review. Bangladesh J Med 2001; 13: 31-33.
  • 14. Chavhan GE, Ramakantan R: Duodenal tuberculosis: radiological features on barium studies and their clinical correlation in 28 cases. J PostgradMed 2003; 49: 214-17.
  • 15. Batikian JP, Yenikamashian SM , Jidejan YD : Tuberculosis of the pyloroduodenal area. AJR 1967; 101: 414-20.
  • 16. Tishler JMA: Duodenal tuberculosis. Radiology 1979; 30: 593-95.
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