Duodenal tuberculosis three case reports

Madhusudan Saha¹, Siddhartha Paul²

1. Associate Professor, Dept. of Gastroenterology. NEMC, Sylhet
2. Assistant Professor, Dept of Psychiatry, NEMC, Sylhet

Introduction:
Tuberculosis (TB) is one of the most common granulomatous inflammations in the world. But Tuberculosis (TB) is one of the most common tubercular involvement of intestine is less than 1% of tuberculosis affected population in the western countries. However, stomach and duodenum are involved in just 0.3-2.03% of TB cases that affect gut. Although TB is very common in our country cases of gastro-duodenal tuberculosis were rarely reported.² Gastro-duodenal tuberculosis is uncommon but potentially curable disease. It may present as gastric outlet obstruction, non-healing duodenal ulcer with or without upper GI bleeding and upper abdominal mass.^3,4 Some patients may also have tubercular focus in the lung or lymph nodes.⁵ Most of the cases are diagnosed on the basis of high degree of suspicion, history, clinical findings, laboratory investigations including biopsy with or without laparotomy.

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