Journal of Postgraduate Medicine
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Year : 1999  |  Volume : 45  |  Issue : 1  |  Page : 10-2

Primary hypertrophic tuberculosis of the pyloroduodenal area: report of 2 cases.

Department of General Surgery, Dr. R.N. Cooper Hospital and Seth G.S. Medical College, Mumbai, India., India

Correspondence Address:
S Agrawal
Department of General Surgery, Dr. R.N. Cooper Hospital and Seth G.S. Medical College, Mumbai, India.
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Source of Support: None, Conflict of Interest: None

PMID: 0010734324

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Tuberculosis of the stomach and duodenum is rare in patients with pulmonary tuberculosis. Primary involvement is even rarer. Two cases of primary tuberculosis of the localised to the pyloro-duodenal area are presented. The most common symptoms are non-specific leading to a difficulty in establishing a pre-operative diagnosis. A high degree of suspicion is therefore required for its diagnosis and to differentiate it from more frequent causes of gastric outlet obstruction such as chronic peptic ulcer disease and gastric carcinoma. The treatment of gastric tuberculosis is primarily medical with anti-tuberculous drug therapy. The role of surgery lies in the cases with obstruction following hypertrophic tuberculosis. The surgery done is usually a gastroenterostomy. With the relative rate of extra-pulmonary tuberculosis increasing, tuberculosis of the pyloro-duodenal area should be considered in the differential diagnosis of gastric outlet obstruction.


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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow