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Duodenal tuberculosis.

S K Gupta1, A K Jain, J P Gupta

  • 1Department of Radiology, Banaras Hindu University, Varanasi, India.

Clinical Radiology
|March 1, 1988
PubMed
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Duodenal tuberculosis presents with obstruction or dyspepsia. Obstruction is often due to external compression from tuberculous lymph nodes, while ulcers are seen in dyspeptic patients.

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Abdominal Surgery

Background:

  • Tuberculosis can affect the duodenum, presenting with varied clinical manifestations.
  • Understanding the radiological and clinical features is crucial for diagnosis and management.

Purpose of the Study:

  • To present the clinical and radiological features of duodenal tuberculosis in 30 cases.
  • To categorize patients based on presenting symptoms and surgical findings.

Main Methods:

  • Retrospective review of 30 patients diagnosed with duodenal tuberculosis.
  • Analysis of clinical presentation, radiological findings, and intraoperative findings.
  • Categorization into obstruction and dyspepsia groups.

Main Results:

Related Experiment Videos

  • Twenty-two patients presented with gastric or duodenal obstruction; eight with dyspepsia.
  • Obstruction was mainly due to extrinsic compression by tuberculous lymph nodes (majority).
  • Five intrinsic duodenal strictures were noted; dyspeptic patients had ulcers and mucosal changes.

Conclusions:

  • Duodenal tuberculosis requires differentiation between obstructive and ulcerative forms.
  • Extrinsic compression by lymph nodes is a common cause of obstruction.
  • Surgical management often involves bypass procedures due to adhesions.