A Case of Primary Gastric Tuberculosis Presenting with Melena.
- Author:
Myung Jun KIM
1
;
Hong Seub RIM
;
Jei So BANG
;
Gil Jong YU
;
Hyung Jin KIM
;
Pil Soo LEE
;
Hyung Gi KIM
;
Jae Gap LEE
;
Dong Il BYUN
;
Soo Nam LEE
Author Information
1. Department of Internal Medicine, Inchon Christian Hospital, Incheon, Korea. dock68@freechal.com
- Publication Type:Case Report
- Keywords:
Primary gastric tuberculosis;
Melena;
Mycobacterium tuberculosis
- MeSH:
Biopsy;
Diagnosis;
Endoscopy;
Fibrosis;
Granuloma;
Humans;
Inflammation;
Male;
Melena*;
Middle Aged;
Mycobacterium tuberculosis;
Stomach Ulcer;
Tuberculosis*
- From:Korean Journal of Gastrointestinal Endoscopy
2002;24(4):212-215
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We experienced a case of primary gastric tuberculosis presented with melena. A 61-year-old male was admitted with epigastric pain and melena. Upper endoscopy revealed an irregular shaped gastric ulcer on the posterior wall of the body. Histological examination of endoscopic specimen revealed chronic inflammation with fibrosis, granulomas and acid-fast bacilli. Cultures for acid-fast bacilli subsequently grew Mycobacterium tuberculosis. There was no evidence of the tuberculous lesion anywhere else. Primary gastric tuberculosis remains an extremely uncommon clinical entity; the definitive diagnosis is made by biopsy and positive culture for the organism. We report a case of primary gastric tuberculosis with review of the literature.
