Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Science, Raibareli Road, Lucknow 226014, India.
Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Science, Raibareli Road, Lucknow 226014, India.
Indian J Tuberc. 2020 Apr;67(2):274-276. doi: 10.1016/j.ijtb.2020.01.012. Epub 2020 Feb 1.
Tuberculosis of the stomach is quite rare, both as a primary or secondary infection. It has varied presentation ranging from non-specific abdominal pain and constitutional symptoms to hematemesis, gastric outlet obstruction and pyrexia of unknown origin. Here, we report a rare, interesting case of locally advanced gastric tuberculosis, which morphologically mimicked liver abscess initially in a young, immunocompetent patient presenting with fever and abdominal pain. The disease was diagnosed by GeneXpert MTB/RIF assay, and responded well to antituberculosis medication without surgery. Clinicians must bear in mind that, even in the absence of immunodeficiency, as in this case, tuberculosis can involve any site in the gastrointestinal tract and may present with a variety of presentation and infiltrating adjacent organ that might be mistaken as malignancy. This is first case report of gastric tuberculosis, which is locally advanced with adjacent liver infiltration initially thought to be left lobe liver abscess.
胃结核十分罕见，无论是原发性还是继发性感染。它的临床表现多种多样，从非特异性腹痛和全身症状到呕血、胃出口梗阻和不明原因的发热。在这里，我们报告了一例罕见的、有趣的局部晚期胃结核病例，该病例最初在一名年轻的、免疫功能正常的患者中表现为发热和腹痛，形态上类似于肝脓肿。该疾病通过 GeneXpert MTB/RIF 检测进行诊断，并且无需手术仅通过抗结核药物治疗即可很好地缓解。临床医生必须牢记，即使在没有免疫缺陷的情况下，如本例中，结核也可以累及胃肠道的任何部位，并且可能以多种表现形式出现，并浸润邻近器官，这可能会被误诊为恶性肿瘤。这是首例局部晚期胃结核病例的报告，该病例最初被认为是左叶肝脓肿，与邻近肝浸润有关。
