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Isolated esophageal tuberculosis

N M Gupta1, M K Goenka, K Vaiphei

  • 1Department of General Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh.

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology
|January 1, 1995
PubMed
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Isolated esophageal tuberculosis, a rare condition, can manifest as a smooth esophageal mass causing pain and difficulty swallowing. Prompt diagnosis and antitubercular therapy led to a positive patient outcome.

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Pulmonology

Background:

  • Esophageal tuberculosis (TB) is an uncommon manifestation of Mycobacterium tuberculosis infection.
  • Diagnosis can be challenging due to its rarity and nonspecific symptoms.

Observation:

  • A patient presented with retrosternal pain and dysphagia.
  • Imaging revealed a smooth esophageal mass.
  • Endoscopic biopsy demonstrated epithelioid cell granuloma with necrosis, indicative of TB.

Findings:

  • The esophageal mass was confirmed as tuberculosis.
  • Thoracic computed tomography (CT) scan showed no involvement of adjacent structures.
  • The patient showed a favorable response to antitubercular therapy.

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Implications:

  • This case highlights the importance of considering esophageal TB in the differential diagnosis of esophageal masses.
  • Early diagnosis and appropriate treatment are crucial for favorable outcomes in esophageal TB.
  • Further research may elucidate optimal diagnostic and management strategies for this rare condition.