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2013 | 85 | 8 | 464-466

Article title

Duodenal Tuberculosis – A Rare Case Report and Review of Literature

Content

Title variants

Languages of publication

EN

Abstracts

EN
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

Publisher

Year

Volume

85

Issue

8

Pages

464-466

Physical description

Dates

published
1 - 08 - 2013
online
05 - 09 - 2013

Contributors

author
  • Department of General Surgery, PGIMER, Chandigarh
author
  • Department of Radiodiagnosis, PGIMER, Chandigarh
  • Department of General Surgery, PGIMER, Chandigarh
author
  • Department of Medical Gastroenterology, PGIMER, Chandigarh
  • Department of Medical Gastroenterology, PGIMER, Chandigarh
  • Department of General Surgery, PGIMER, Chandigarh

References

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  • 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.
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  • 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.

Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_2478_pjs_2013_85_8_464
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