Letter to the Editor
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 16, 2024; 12(32): 6563-6565
Published online Nov 16, 2024. doi: 10.12998/wjcc.v12.i32.6563
Revisiting tuberculosis as a cause of gastric outlet obstruction: Insights from a case report
Jin Meng, Li-Mei Zhang, Zhi-Gang Wang, Xiu Zhao, Hai-Xia Bai, Ying Wang, De-Yu Chen, De-Long Liu, Cheng-Chun Ji, Yuan Liu, Lei Wang, Bo-Yang Li, Zhi-Tao Yin
Jin Meng, Zhi-Gang Wang, Xiu Zhao, Hai-Xia Bai, De-Yu Chen, De-Long Liu, Cheng-Chun Ji, Yuan Liu, Lei Wang, Bo-Yang Li, Zhi-Tao Yin, Department of Anorectal Disease, Shenyang Coloproctology Hospital, Shenyang 110000, Liaoning Province, China
Li-Mei Zhang, Department of Neurology, Central Hospital of Dalian University of Technology, Dalian 116001, Liaoning Province, China
Ying Wang, Acupuncture and Tuina College, Liaoning University of Traditional Chinese Medicine, Shenyang 110032, Liaoning Province, China
Author contributions: Yin ZT designed the letter; Meng J wrote the paper; Zhang LM, Wang ZG, Zhao X, Bai HX, Wang Y, Chen DY, Liu DL, Ji CC, Liu Y, Wang L, Li BY collected and collated the literature. All authors have read and approved the final manuscript.
Supported by Shenyang Science and Technology Plan Project, No. 23-408-3-01; and The Natural Science Foundation of Liaoning Province, No. 2022-MS-435.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zhi-Tao Yin, MM, Chief Doctor, Department of Anorectal Disease, Shenyang Coloproctology Hospital, No. 9 Nanjing North Street, Heping District, Shenyang 110000, Liaoning Province, China. yinzitao@163.com
Received: March 2, 2024
Revised: August 31, 2024
Accepted: September 9, 2024
Published online: November 16, 2024
Processing time: 205 Days and 21.3 Hours
Abstract

Gastroduodenal tuberculosis (GD-TB) is exceptionally rare. The clinical manifestations of gastrointestinal TB are diverse and non-specific, which makes diagnosis difficult, leading to delayed diagnosis and high mortality. As a peer-reviewer of World Journal of Clinical Cases, I would like to share my opinion on the article published by this journal. The patient had no family history of TB or contact with people with TB. Primary GD-TB presenting as gastric outlet obstruction and normal findings of thoracic computed tomography increased the difficulty of diagnosis and treatment in this patient. The diagnosis and treatment scheme of this typical case have reference value for the clinical treatment of GD-TB.

Keywords: Tuberculosis; Gastrointestinal tuberculosis; Gastric outlet obstruction; Gastroduodenal tuberculosis; X pert; Interferon-γ release assay

Core Tip: We comment on the article Ali et al published in World Journal of Clinical Cases. In that report, the patient had no family history of tuberculosis (TB) or contact with people with TB. Primary gastroduodenal TB presenting as gastric outlet obstruction and normal findings of thoracic computed tomography increased the difficulty of diagnosis and treatment in this patient. This typical case is worthy of discussion and clinical study by clinicians.