Duodenal Tuberculosis – A Rare Case Report and Review of Literature

• Authors: Divya Dahiya , Mandeep Garg , Lileswar Kaman , Surinder Rana , Chalapathi Rao , Arunanshu Behera
• 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

Keywords

EN

duodenal tuberculosis; duodenal obstruction

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2013
• Volume: 85
• Issue: 8
• Pages: 464-466

Dates

published

1 - 08 - 2013

online

05 - 09 - 2013

Contributors

author

Divya Dahiya

• Department of General Surgery, PGIMER, Chandigarh

author

Mandeep Garg

• Department of Radiodiagnosis, PGIMER, Chandigarh

author

Lileswar Kaman

• Department of General Surgery, PGIMER, Chandigarh

author

Surinder Rana

• Department of Medical Gastroenterology, PGIMER, Chandigarh

author

Chalapathi Rao

• Department of Medical Gastroenterology, PGIMER, Chandigarh

author

Arunanshu Behera

• Department of General Surgery, PGIMER, Chandigarh

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Identifiers

DOI

10.2478/pjs.2013.85.8.464