Misra R C, Agarwal S K, Prakash P, Saha M M, Gupta P S
Endoscopy. 1982 Nov;14(6):235-7. doi: 10.1055/s-2007-1021629.
A 63-year-old female presented with upper epigastric pain. On endoscopy a giant gastric ulcer was observed on the lesser curvature of the stomach. Biopsies taken from the ulcer showed epitheloid cell granulomas with caseation, suggesting a diagnosis of granulomatous gastritis probably tubercular in origin. No AFB was seen in the biopsied material, the culture also failed to grow AFB. Radiograph of the chest was normal. On anti-tubercular treatment the patient showed remarkable recovery and the ulcer healed completely following 3 1/2 months of treatment.
一名63岁女性因上腹部疼痛就诊。内镜检查发现胃小弯处有一个巨大胃溃疡。取自溃疡的活检显示上皮样细胞肉芽肿伴干酪样坏死，提示可能为结核源性肉芽肿性胃炎。活检材料中未发现抗酸杆菌，培养也未生长出抗酸杆菌。胸部X光片正常。经抗结核治疗，患者恢复显著，治疗3个半月后溃疡完全愈合。
