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.
Key words:
Tuberculosis of the stomach - Gastric Ulcer - Gastric wall
