Yan Feiyu, Yu Xianzhe, Lei Hongjun, Chen Yi, Wang Jiwei, Li Jianguo
Department of Gastrointestinal Surgery, 159358Affiliated Hospital of Zunyi Medical College, Affiliated Hospital of Zunyi Medical College, Zunyi, People's Republic of China.
J Int Med Res. 2021 Jul;49(7):3000605211033189. doi: 10.1177/03000605211033189.
A 53-year-old patient who experienced recurring upper abdominal pain and discomfort for 4 years was admitted to our hospital. Gastroscopy was performed to identify the location of the pain and evaluate the characteristics of a mass in the abdomen. Endoscopic ultrasonography (EUS) and abdominal computed tomography (CT) revealed a space-occupying lesion in the gastric fundus, suggestive of a submucosal tumor and highly likely of stromal origin. Surgical resection of the lesion was performed for identification; however, postoperative histopathological examination of the lesion revealed gastric fundus tuberculosis (TB). Gastric TB is relatively rare; therefore, clinicians should be highly suspicious of patients with abdominal symptoms from regions with a high incidence of TB to prevent treatment delay caused by misdiagnosis.
一名有4年反复上腹部疼痛和不适症状的53岁患者入住我院。进行了胃镜检查以确定疼痛部位并评估腹部肿块的特征。内镜超声检查（EUS）和腹部计算机断层扫描（CT）显示胃底有占位性病变，提示为黏膜下肿瘤，极有可能起源于间质。对该病变进行了手术切除以明确诊断；然而，病变的术后组织病理学检查显示为胃底结核（TB）。胃结核相对少见；因此，临床医生应对来自结核病高发地区且有腹部症状的患者高度怀疑，以防止因误诊导致治疗延误。
