Espinoza-Ríos Jorge, Bravo Paredes Eduar, Pinto Valdivia José, Guevara Julissa, Huerta-Mercado Jorge, Tagle Arróspide Martín, Bussalleu Rivera Alejandro
Hospital Cayetano Heredia. Lima, Peru.
Hospital Cayetano Heredia. Lima, Peru.; School of Medicine, Universidad Peruana Cayetano Heredia. Lima, Peru.
Rev Gastroenterol Peru. 2017 Jan-Mar;37(1):91-93.
We present the case of a 30-year old female with a history of abdominal pain, fever, poor oral tolerance and weight loss for 6 months. An abdominal CT scan showed marked gastric dilatation due to extrinsic compression from lymphadenopathies around the second portion of the duodenum. The upper endoscopy revealed the presence of a penetrating gastric ulcer in the greater curvature. Biopsies of the lesions showed hystiocytes with granulomatous features and Acid Fast Bacilli (AFB) positive, and the cultures grew Mycobacterium tuberculosis sensitive to Isonazid and Rifampin. Subsequently anti-TB regimen was initiated achieving great clinical and endoscopic improvement.