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World J Gastrointest Endosc. Nov 16, 2013; 5(11): 581-583
Published online Nov 16, 2013. doi: 10.4253/wjge.v5.i11.581
Published online Nov 16, 2013. doi: 10.4253/wjge.v5.i11.581
Esophageal tuberculosis presenting with hematemesis
Samit S Jain, Piyush O Somani, Dharmesh K Shah, Qais Q Contractor, Pravin M Rathi, Department of Gastroenterology, Bai Yamunabai Laxman Nair Hospital, Topiwala National Medical College, Mumbai 400008, India
Rajeshkumar C Mahey, Department of General Surgery, Bai Yamunabai LaxmanNair Hospital, Topiwala National Medical College, Mumbai 400008, India
Author contributions: Jain SS, Somani PO, Mahey RC and Shah DK designed the research; Jain SS, Somani PO and Shah DK performed the research; Contractor QQ and Rathi PM analyzed the data; Jain SS and Somani PO wrote the paper.
Correspondence to: Pravin M Rathi, Professor, Head, Department of Gastroenterology, Bai Yamunabai Laxman Nair Hospital, Topiwala National Medical College, Dr A L Nair Road, Mumbai Central, Mumbai 400008, India. rathipmpp@gmail.com
Telephone: +91-22-23016139 Fax: +91-22-23021168
Received: August 1, 2013
Revised: September 14, 2013
Accepted: October 16, 2013
Published online: November 16, 2013
Processing time: 109 Days and 16.4 Hours
Revised: September 14, 2013
Accepted: October 16, 2013
Published online: November 16, 2013
Processing time: 109 Days and 16.4 Hours
Core Tip
Core tip: Esophageal tuberculosis is very rare, constituting about 0.3% of gastrointestinal tuberculosis cases. Esophageal tuberculosis presents commonly with dysphagia, cough, chest pain in addition to fever and weight loss. Complications may include hemorrhage from the lesion, development of arterioesophageal fistula, esophagocutaneous fistula or tracheoesophageal fistula. There are very few case reports of esophageal tuberculosis presenting with hematemesis due to esophageal ulceration. We report a patient with hematemesis that was later attributed to the erosion of tuberculous subcarinal lymph nodes into the esophagus.