RT Journal Article
SR Electronic
T1 Gastric tuberculosis presenting as a large gastric ulcer
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e248215
DO 10.1136/bcr-2021-248215
VO 15
IS 5
A1 Alanood Eisameldin Elterefi
A1 Ahmad Kanaan Uwaydah
A1 Gamal Rashed Helal
A1 Nidal M M Hassan
YR 2022
UL http://casereports.bmj.com/content/15/5/e248215.abstract
AB While gastrointestinal (GI) tuberculosis (TB) accounts for 1%–3% of all TB cases worldwide, TB of the stomach is extremely rare and accounts for 1%–2% of all GI TB. Little is known about this entity, and most data are obtained from case reports. We report a case of a woman in her 60s who presented with a 2-week history of generalised weakness, fatigue and shivering, with severe loss of appetite on background history of dyspepsia and significant weight loss for the preceding 2 years. Upper endoscopy revealed a large gastric ulcer. Biopsy and histopathology revealed caseating granulomas with numerous acid-fast bacilli detected with Ziehl-Neelsen stain. She was diagnosed with gastric TB. Subsequently, she was also diagnosed with pulmonary, adrenal and colonic involvement.