Abstract
Tuberculosis is a major health problem worldwide. In India, it is highly endemic. The most common manifestation is a pulmonary disease, but involvement of the gastrointestinal tract is not uncommon with the ileocecal region being the commonest site. Gastric tuberculosis is rare and usually associated with pulmonary tuberculosis or an immunodeficient state. Here, we report a case of gastric tuberculosis presenting as gastric outlet obstruction in an immunocompetent patient without evidence of pulmonary tuberculosis. Biopsy and PCR confirmed the diagnosis, and the patient responded well to standard antitubercular treatment. Though, gastric tuberculosis is rare, it should be considered as a possibility when patients present with gastric outlet obstruction, particularly in endemic areas with tuberculosis.
Highlights
Tuberculosis of stomach whether of primary or secondary infection is uncommon [1, 2]. It is usually associated with pulmonary tuberculosis or with immunodeficiency state [3]
We report a case of gastric tuberculosis in an immunocompetent patient presenting with gastric outlet obstruction without evidence of pulmonary involvement
Our case presented with a mass lesion at the antrum with gastric outlet obstruction, which is the most common presentation of gastric tuberculosis [6, 10, 11]
Summary
Tuberculosis of stomach whether of primary or secondary infection is uncommon [1, 2]. It is usually associated with pulmonary tuberculosis or with immunodeficiency state [3]. It resembles peptic ulcer disease or malignancy [4, 5]. We report a case of gastric tuberculosis in an immunocompetent patient presenting with gastric outlet obstruction without evidence of pulmonary involvement
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