Disseminated Tuberculosis Presenting as Gastric Outlet Obstruction
- Author:
Eleonor G. Rodenas-Sabico
1
;
Germana Emerita V. Gregorio
1
Author Information
- Publication Type:Case Reports
- Keywords: duodenal tuberculosis; miliary tuberculosis; chronic granulomatous inflammation; disseminated tuberculosis
- MeSH: Tuberculosis, Miliary; Gastric Outlet Obstruction; Granuloma; Inflammation
- From: Acta Medica Philippina 2020;54(5):638-641
- CountryPhilippines
- Language:English
- Abstract: A 12-year-old female had a three-year history of fever, non-bilious vomiting and abdominal pain. Upper gastrointestinal series showed a filling defect at the duodenum. Esophagogastroduodenoscopy exhibited circumferential mass extending from the duodenal bulb to the 2nd part of the duodenum which on histology disclosed chronic granulomatous inflammation. Chest X-ray suggested miliary tuberculosis; endotracheal tube aspirate was PCR positive for Mycobacterium tuberculosis. Patient was diagnosed as disseminated tuberculosis of the duodenum and lungs. Quadruple anti-tuberculosis medication was started but patient succumbed to nosocomial sepsis.
- Full text:2275-Article Text-11749-1-10-20201028.pdf
