Unusual Presentations of Duodenal Tuberculosis

Nair, K. V.; Pai, C. Ganesh; Rajagopal, K. P.; Bhat, V. N.; Thomas, Malini
June 1991
American Journal of Gastroenterology;Jun1991, Vol. 86 Issue 6, p756
Academic Journal
Gastrointestinal tuberculosis is still rampant in underdeveloped countries and can mimic other gastrointestinal (G!) disorders. Herein we report four cases of isolated proximal duodenal tuberculosis, without involvement of other parts of tbe GI tract. The clinical presentation in three of them resembled that of peptic ulcer disease, and one bad features of gastric outlet obstruction. On investigation, one of these patients bad a pyeloduodenal fistula. The limitations of clinical evaluation, radiology, and endoscopy are stressed, and the value of surgical biopsy is highlighted.


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