Duodenal Tuberculosis – A Rare Case Report and Review of Literature
Journal Title: Polish Journal of Surgery - Year 2013, Vol 85, Issue 8
Abstract
Extrapulmonary tuberculosis is rare and often difficult to diagnose infection. We report a case of duodenal tuberculosis, who presented with upper gastrointestinal symptoms. There was evidence of obstruction in the third part of duodenum (D3) on oesophagogastro endoscopy, barium meal follow through and CT scan of abdomen. On exploration there was thickening of D3 and D4 causing luminal obstruction. Resection of stricturous segment with end-to-side duodenojejunostomy was done. Biopsy of the diseased segment was tubercular. Antitubercular treatment was given to the patient for 6 months and he is doing well on follow up (1 year after surgery). Duodenal tuberculosis being the rarest form of intestinal tuberculosis poses great difficulty in diagnosis. High index of suspicion supported by radiological investigation, exploratory laparotomy and histopathological examination of the tissue can only lead to a definitive diagnosis of this rare condition. Treatment is both surgical which involves resection or by-pass for an obstructive lesion and medical which includes antitubercular therapy.
Authors and Affiliations
Divya Dahiya, Mandeep Garg, Lileswar Kaman, Surinder Rana, Chalapathi Rao, Arunanshu Behera
Keywords
Related Articles
- EP ID EP74334
- DOI 10.2478/pjs.2013.85.8.464
- Views 129
- Downloads 0
Anticoagulants as a Risk Factor in Patients Operated on for Abdominal Hernia
The aim of the study was to determine whether patients treated with anticoagulants in the perioperative period are at higher risk of developing bleeding complications. Material and methods. Medical records of patients op...
An Umbilical/Paraumbilical Hernia as a Sign of an Intraabdominal Malignancy in the Elderly
The umbilical area can present with a variety of signs associated with an intra abdominal malignancy. An umbilical/paraumbilical hernia might itself be a sign of an internal malignancy. The correlation between the presen...
Związek polimorfizmów XRCC6 C1310G i LIG4 T9I genów naprawy DNA szlaku NHEJ z ryzykiem występowania raka jelita grubego w populacji polskiej
WSTĘP: Rak jelita grubego (RJG) zajmuje na świecie drugie miejsce wśród przyczyn zgonów na nowotwory złośliwe. Utrata integralności genomu spowodowana jest uszkodzeniami DNA generowanymi przy użyciu czynników środowiskow...
Diagnostic Imaging Efficacy In Metastases From Unknown Primary Site – Own Material
Cancer of Unknown Primary Origin (CUPO) is defined by the presence of metastatic lesions, diagnosed by means of cytological or pathological evaluation, for which no primary site can be detected during a thorough examinat...
Cell therapy in surgical treatment of fistulas. Preliminary results
Risk of recurrence after surgical treatment of a recurrent fistula is up to 50%. It has be known that more aggressive surgical treatment is associated with a high risk of anal sphincter damage and leads to incontinence....