| CASE REPORT |
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| Year : 2012 | Volume
: 4
| Issue : 5 | Page : 198-202 |
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Tuberculous pyloric stenosis; successful medical therapy may obviate surgery
Muhammad A Badawi, Jamshed M Yousef, Wafa Nasser, Muhammad Younis
Department of Medicine, Immam Abdelrahman Bin Faisal Hospital, National Guard Health Affairs, P O Box 4616, Dammam 31412, Saudi Arabia
Correspondence Address:
Muhammad A Badawi
Department of Medicine, Immam Abdelrahman Bin Faisal Hospital, National Guard Health Affairs, P O Box 4616, Dammam 31412
Saudi Arabia
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/1947-489X.210776
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Gastroduodenal involvement occurs in only 0.3 to 2.3% of patients with tuberculosis (TB). Clinically, it may resemble peptic ulcer disease or malignancy. We present a 36 year old man with gastric outlet obstruction proven to be pyloric stricture due to primary pyloric tuberculosis. Diagnosis was established endoscopically and patient was successfully managed by standard anti-tuberculous therapy. Although rare, tuberculous involvement of the stomach should be considered in the differential diagnosis of gastric outlet obstruction especially in regions where tuberculosis is endemic. This case also emphasizes that medical management with anti-TB medications can be tried solely as the first line therapy for strictured pyloric stenosis. However, surgical intervention is required more often than none in cases where gastrointestinal obstruction is the main clinical problem.
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