Primary gastric tuberculosis causing gastric outlet obstruction: A case report Bansod A1,*, Kulkarni A2, Lanjewar S3, Bodade R1, Bansod S4, Singh K2 1Assistant Professor, Dept. of General Surgery, IGGMC, Nagpur 2Resident, Dept. of General Surgery, IGGMC, Nagpur 3Professor and Head, Dept. of General Surgery, IGGMC, Nagpur 4Assistant Professor, Dept. of Microbiology, IGGMC, Nagpur * atish6267@gmail.com
Online published on 9 November, 2015. Abstract Ileo-caecal junction is the most common site of abdominal tuberculosis. Isolated primary gastric tuberculosis is very rare. Our case was a 44-year-old female with complaints of vomiting and epigastric distension after meals since 18 months. There was no other positive history. Her gastroscopy revealed pyloric stenosis with 5–6 ulcers in pre-pyloric region which were thought to be stasis ulcers. A distal partial gastrectomy with Roux-en-Y gastro-jejunostomy was done. The histopathology of the specimen revealed caseous necrosis with epitheloid granulomas and Langhan's giant cells which gave the diagnosis of tuberculosis. Patient was registered under Category I of Directly Observed Treatment, Shortcourse. Top Keywords Gastric tuberculosis, Caseous necrosis, Langhan's giant cells. Top |