CC BY-NC-ND 4.0 · Ibnosina Journal of Medicine and Biomedical Sciences 2012; 04(05): 198-202
DOI: 10.4103/1947-489X.210776
Case Report

Tuberculous pyloric stenosis; successful medical therapy may obviate surgery

Muhammad Badawi
Department of Medicine, Immam Abdelrahman Bin Faisal Hospital, National Guard Health Affairs, P O Box 4616, Dammam 31412, Saudi Arabia
,
Jamshed Yousef
Department of Medicine, Immam Abdelrahman Bin Faisal Hospital, National Guard Health Affairs, P O Box 4616, Dammam 31412, Saudi Arabia
,
Wafa Nasser
Department of Medicine, Immam Abdelrahman Bin Faisal Hospital, National Guard Health Affairs, P O Box 4616, Dammam 31412, Saudi Arabia
,
Muhammad Younis
Department of Medicine, Immam Abdelrahman Bin Faisal Hospital, National Guard Health Affairs, P O Box 4616, Dammam 31412, Saudi Arabia
› Author Affiliations

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.



Publication History

Received: 30 April 2012

Accepted: 22 July 2012

Article published online:
17 June 2022

© 2012. The Libyan Authorityof Scientific Research and Technologyand the Libyan Biotechnology Research Center. All rights reserved. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License,permitting copying and reproductionso long as the original work is givenappropriate credit. Contents may not be used for commercial purposes, oradapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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