A Case of the Duodenal Tuberculosis Presenting as Hematemesis.
- Author:
Hong Seong HA
1
;
Dong Hyeon LEE
;
Sang Je PARK
;
Eun Kyu KIM
;
No Won CHUNG
;
Eun Young SEONG
;
Woo Seog KO
;
Ik Su CHOI
;
Chul Soo SONG
;
Yeong Kee SHIN
;
Kyung Ha KANG
Author Information
1. Department of Internal Medicine, Samsun Hospital, Pusan, Korea.
- Publication Type:Case Report
- Keywords:
Duodenal tuberculosis;
Hematemesis
- MeSH:
Developing Countries;
Diagnosis;
Diagnosis, Differential;
Drug Therapy;
Endoscopy;
Follow-Up Studies;
Hematemesis*;
Hemorrhage;
Hospitalization;
Humans;
Korea;
Tuberculosis*;
Tuberculosis, Gastrointestinal;
Tuberculosis, Pulmonary;
Vomiting
- From:Korean Journal of Gastrointestinal Endoscopy
2000;21(2):638-641
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Despite the modern advance in effective chemotherapy, gastrointestinal tuberculosis is considered to be relatively frequent in developing countries. The ileocecal region is the most common site of intestinal tuberculosis and duodenal involvement is rare. The isolated duodenal tuberculosis are reported 9 cases in Korea. The symptoms and signs of gastrointestinal tuberculosis are nonspecific and vague. In the absence of pulmonary tuberculosis, the diagnosis may be difficult. Pain and vomiting are common symptoms of duodenal tuberculosis. Patients may present with upper gastrointestinal bleeding. Therefore, tuberculosis should be considered in the differential diagnosis of gastrointestinal bleeding. We herein report a case of duodenal tuberculosis presenting as hematemesis and necessitating hospitalization. After anti-tuberculosis therapy, we have confirmed the healing of the lesion by the follow-up endoscopy, and review the current literature.
