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CASE REPORT
Year : 2020  |  Volume : 9  |  Issue : 4  |  Page : 448-450

Gastric tuberculosis masquerading as advanced malignancy in a young male


1 Department of Medical Gastroenterology, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India
2 Department of Surgical Gastroenterology, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India
3 Department of Radiology, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India
4 Department of Pathology, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India

Correspondence Address:
Abhijit Acharya
Department of Surgical Gastroenterology, Kalinga Institute of Medical Sciences, Bhubaneswar - 751 024, Odisha
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmy.ijmy_167_20

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Gastrointestinal tuberculosis usually involves ileum and cecum in three-fourth of cases. Isolated gastric involvement is uncommon in the absence of pulmonary tuberculosis or immunodeficiency in affected individuals. Here, we describe a case of tuberculosis involving stomach and colon in an immunocompetant young patient who presented to us with dyspeptic symptoms, pain abdomen, and melena. Morphologically, the lesion mimicked as advanced malignancy, but laparoscopic biopsy confirmed the diagnosis. The patient responded well to medical treatment. It should be emphasized that tuberculosis can involve any part of gastrointestinal tract including stomach even in immunocompetent individuals, and it should be kept as differential diagnosis of any chronic inflammatory lesion of stomach, especially in endemic countries as medical treatment is usually sufficient to provide a cure.


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