Disseminated Tuberculosis Presenting as Gastric Outlet Obstruction

  • Eleonor G. Rodenas-Sabico
  • Germana Emerita V. Gregorio
Keywords: duodenal tuberculosis, miliary tuberculosis, chronic granulomatous inflammation, disseminated tuberculosis, gastric outlet obstruction

Abstract

A 12-year-old female had a three-year history of fever, non-bilious vomiting and abdominal pain. Upper gastrointestinal series showed a filling defect at the duodenum. Esophagogastroduodenoscopy exhibited circumferential
mass extending from the duodenal bulb to the 2nd part of the duodenum which on histology disclosed chronic
granulomatous inflammation. Chest X-ray suggested miliary tuberculosis; endotracheal tube aspirate was PCR
positive for Mycobacterium tuberculosis. Patient was diagnosed as disseminated tuberculosis of the duodenum
and lungs. Quadruple anti-tuberculosis medication was started but patient succumbed to nosocomial sepsis.

Published
2020-10-28
Section
Articles

Most read articles by the same author(s)