Endoscopy 1987; 19(3): 133-135
DOI: 10.1055/s-2007-1018259
CASE REPORTS

© Georg Thieme Verlag KG Stuttgart · New York

Tuberculous Gastric Ulcer

G. Mathis1 , K. Dirschmid2 , G. Sutterlütti1
  • 1Department of Internal Medicine at the Hohenems Hospital
  • 2Pathological Institute of the Regional Hospital Feldkirch
Further Information

Publication History

Publication Date:
17 March 2008 (online)

Summary

This is a case report on tuberculosis of the stomach in a 70-year-old woman who, submitted to an endoscopic examination for uncharacteristic upper abdominal complaints, revealed multiple ulcers in the aboral part of the stomach, together with a thickening of the gastric wall. Histologically, caseating epithelioid cell granulomas were found, and only a single acid-fast tubercle (TB rod). As a further specific manifestation, tuberculous spondylitis developed, which was treated surgically. Under anti-tuberculous treatment, the gastric ulcers healed. The clinical-endoscopic picture, the pathogenesis, complications and differential diagnosis are discussed on the basis of current literature.

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