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Updated: Aug 12, 2025
The MODS method for diagnosis of tuberculosis and multidrug resistant tuberculosis
Published on: August 11, 2008
Duodenal tuberculosis.
Ángela Antón Rodríguez1, Andrea González Pascual2, Jose Ignacio Fortea Ormaechea2
1Aparato Digestivo, Hospital Universitario Marqués de Valdecilla, España.
Gastrointestinal tuberculosis (TB) is a rare condition affecting the duodenum in only 2.5% of cases. This case highlights a 60-year-old woman with unexplained weight loss and digestive symptoms, diagnosed via CT scan.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Radiology
Background:
- Gastrointestinal tuberculosis (GI TB) is uncommon, with duodenal involvement rare (2-2.5%).
- Early diagnosis can be challenging due to non-specific symptoms.
Observation:
- A 60-year-old female presented with significant weight loss, epigastric pain, bloating, and vomiting.
- She denied fever or respiratory symptoms, complicating initial differential diagnoses.
Findings:
- Laboratory tests showed elevated C-reactive protein and low prealbumin.
- Abdominal CT revealed duodenal wall thickening (primarily the third part), mesenteric root infiltration, and multiple small adenopathies.
Implications:
- This case underscores the importance of considering GI TB in patients with unexplained constitutional symptoms and gastrointestinal issues.
- Radiological findings like duodenal thickening and mesenteric involvement are crucial clues for diagnosing this rare condition.
- Further investigation and prompt treatment are essential for managing duodenal tuberculosis.
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