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[Tuberculous stenosis of the duodenum]

H G Rohner, R Müller-Wallraf, M Wienbeck

    Leber, Magen, Darm
    |November 1, 1982
    PubMed
    Summary

    Tuberculosis can cause duodenal stenosis, presenting as upper abdominal pain and other symptoms. Early diagnosis and treatment with tuberculostatic drugs led to complete healing in this case.

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    Area of Science:

    • Gastroenterology
    • Infectious Diseases
    • Pathology

    Background:

    • Duodenal stenosis is a rare condition.
    • Tuberculosis is an uncommon cause of duodenal stenosis.

    Observation:

    • A 51-year-old man presented with chronic upper abdominal pain, nausea, fever, and melaena.
    • Imaging revealed a mass in the pancreatic head region.
    • Endoscopic biopsy confirmed ulcerating and stenosing tuberculosis of the duodenum.

    Findings:

    • Microscopic examination showed caseating tuberculoid granuloma and acid-fast bacilli.
    • Human-type tubercle bacilli were identified in culture.
    • Epithelioid cell granulomas were also present in the liver.

    Implications:

    • Tuberculosis should be considered in the differential diagnosis of stenosing duodenal lesions.
    • Prompt diagnosis and treatment with tuberculostatic drugs can lead to complete recovery.
    • This case highlights the importance of considering rare etiologies for gastrointestinal symptoms.

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