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• W2133635156 abstract "Gastroduodenal tuberculosis (GDTB) is rare in the West. Its presentation can be non-specific and often mimics other more common conditions such as peptic ulcer disease, malignancy and Crohn9s disease. Our case describes a 33-year-old Indian immigrant who presented with a 3-year history of dyspepsia and underwent balloon dilation for gastric outlet obstruction (GOO). While biopsies from the duodenum revealed only non-caseating granuloma, a high index of suspicion was maintained and colonoscopy, performed despite the absence of lower gastrointestinal symptoms, revealed a single discrete nodular and ulcerated area in the proximal transverse colon; this eventually grew <i>Mycobacterium tuberculosis</i>. Our patient avoided undergoing major surgery and was successfully treated with balloon dilation and antitubercular medication. We highlight the importance of having a concerted, proactive approach to diagnosis. We discuss the therapeutic challenges involving this rare condition and explain the rationale for high-dose antisecretory therapy." @default.
• W2133635156 created "2016-06-24" @default.
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• W2133635156 date "2013-05-22" @default.
• W2133635156 modified "2023-09-26" @default.
• W2133635156 title "An unusual case of gastric outlet obstruction caused by tuberculosis: challenges in diagnosis and treatment" @default.
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• W2133635156 doi "https://doi.org/10.1136/bcr-2012-008277" @default.
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