A 63-year-old female presented with upper epigastric pain. On endoscopy a giant gastric
ulcer was observed on the lesser curvature of the stomach. Biopsies taken from the
ulcer showed epitheloid cell granulomas with caseation, suggesting a diagnosis of
granulomatous gastritis probably tubercular in origin. No AFB was seen in the biopsied
material, the culture also failed to grow AFB. Radiograph of the chest was normal.
On anti-tubercular treatment the patient showed remarkable recovery and the ulcer
healed completely following 3 1/2 months of treatment.
Endoscopy - Tuberculosis - Gastric ulcer
