Ali AM, Mohamed YG, Mohamud AA, Mohamed AN, Ahmed MR, Abdullahi IM, Saydam T. Primary gastroduodenal tuberculosis presenting as gastric outlet obstruction: A case report and review of literature. World J Clin Cases 2024; 12(8): 1536-1543 [PMID: 38576818 DOI: 10.12998/wjcc.v12.i8.1536]
Corresponding Author of This Article
Abdihamid Mohamed Ali, MBChB, MD, MMed, Academic Editor, Academic Research, Lecturer, Department of General Surgery, Mogadishu Somali Turkey Recep Tayyip Erdogan Training and Research Hospital, Hodan Street, Mogadishu 2526, Somalia. abdihamidmohamed10@gmail.com
Research Domain of This Article
Medicine, General & Internal
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Mar 16, 2024; 12(8): 1536-1543 Published online Mar 16, 2024. doi: 10.12998/wjcc.v12.i8.1536
Primary gastroduodenal tuberculosis presenting as gastric outlet obstruction: A case report and review of literature
Abdihamid Mohamed Ali, Yahye Garad Mohamed, Abdirahman Ahmed Mohamud, Abdulkadir Nor Mohamed, Mohamed Rage Ahmed, Ismail Mohamud Abdullahi, Tuba Saydam
Abdihamid Mohamed Ali, Abdirahman Ahmed Mohamud, Abdulkadir Nor Mohamed, Mohamed Rage Ahmed, Tuba Saydam, Department of General Surgery, Mogadishu Somali Turkey Recep Tayyip Erdogan Training and Research Hospital, Mogadishu 2526, Somalia
Yahye Garad Mohamed, Department of Radiology, Mogadishu Somali Turkey, Training and Research Hospital, Mogadishu 2526, Somalia
Ismail Mohamud Abdullahi, Department of Pathology, Mogadishu Somali Turkey Recep Tayyip Erdogan Training and Research Hospital, Mogadishu 2526, Somalia
Author contributions: Upon the patient's admission, Ali AM, Mohamed AN, and Ahmed MR conducted relevant investigations and provided postoperative follow-up. The manuscript was written by Mohamed YG and Ali AM, who contributed to drafting, English editing, design, and coordination; All authors reviewed and approved the final version.
Informed consent statement: The patient provided informed written consent to publish this case study and accompanying photographs.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read CARE Checklist (2016), and the manuscript was prepared and revised according to CARE Checklist (2016).
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: Abdihamid Mohamed Ali, MBChB, MD, MMed, Academic Editor, Academic Research, Lecturer, Department of General Surgery, Mogadishu Somali Turkey Recep Tayyip Erdogan Training and Research Hospital, Hodan Street, Mogadishu 2526, Somalia. abdihamidmohamed10@gmail.com
Received: December 23, 2023 Peer-review started: December 23, 2023 First decision: January 9, 2024 Revised: January 12, 2024 Accepted: February 20, 2024 Article in press: February 20, 2024 Published online: March 16, 2024 Processing time: 79 Days and 15.1 Hours
Abstract
BACKGROUND
Mycobacterium tuberculosis (TB) is the causative agent of TB, a chronic granulomatous illness. This disease is prevalent in low-income countries, posing a significant global health challenge. Gastrointestinal TB is one of the three forms. The disease can mimic other intra-abdominal conditions, leading to delayed diagnosis owing to the absence of specific symptoms. While gastric outlet obstruction (GOO) remains a frequent complication, its incidence has declined with the advent of proton pump inhibitors and Helicobacter pylori eradication therapy. Gastroduodenal TB can cause upper gastrointestinal hemorrhage, obstruction, and malignancy-like tumors.
CASE SUMMARY
A 23-year-old male presented with recurrent epigastric pain, distension, nausea, vomiting, and weight loss, prompting a referral to a gastroenterologist clinic. Endoscopic examination revealed distorted gastric mucosa and signs of chronic inflammation. However, treatment was interrupted, possibly owing to vomiting or comorbidities such as human immunodeficiency virus infection or diabetes. Subsequent surgical intervention revealed a dilated stomach and diffuse thickening of the duodenal wall. Resection revealed gastric wall effacement with TB.
CONCLUSION
Primary gastric TB is rare, frequently leading to GOO. Given its rarity, suspicions should be promptly raised when encountering relevant symptoms, often requiring surgical intervention for diagnosis and treatment.
Core Tip: Tuberculosis (TB) is a disease that has been around since ancient times and is still one of the top 10 causes of death globally. With a high incidence in lower-income countries. It is a global health concern, with gastrointestinal TB The third most common extrapulmonary form of TB. Here we present Primary gastroduodenal TB presenting as gastric outlet obstruction (GOO): A case report and review of the literature. The diagnosis of abdominal TB is often delayed since there are no distinct clinical signs and symptoms, and the disease can mimic other intra-abdominal pathologies. The most common causes of GOO include peptic ulcer disease and gastric cancer. TB should be included ddx when these dx is excluded. Surgery is inevitable when GOO is present at time of diagnosis and proceed by antitubercular treatment.
