Gastric tuberculosis

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.