Gastric tuberculosis. Apropos of a recent case report recorded in Abidjan
Peghini, M.; Khoury, J.; Levy, D.; Bordahandy, R.; Beda, Y.B.; Angate, A.Y.
Medecine Tropicale Revue du Corps de Sante Colonial 44(3): 279-284
1984
ISSN/ISBN: 0025-682X PMID: 6503681 Document Number: 5341
The authors describe a case of gastric tuberculosis in a 23 years old African patient from Abidjan. Symptomatology included epigastralgia, post prandial vomiting, severe impoverishment of health state and dehydration. Endoscopy showed a pseudopolypoid diffuse gastritis with an infiltrated like mucosa. Endoscopic biopsy was carried out, but, because of clinical aggravation (epigastric muscular defense), the patient underwent a laparotomy before knowing the results of the biopsy. Gastrotomy showed an hypertrophied granulomatous hemorrhagic mucosa. By histological examination it was concluded in favour of a granulomatous gastritis with pan-parietal tuberculoid lesions without acid-alcohol-fast bacilli. The different causes of granulomatous gastritis were reviewed and a tuberculous etiology suspected. An antituberculous therapy was prescribed with excellent results on clinical and endoscopic standpoint one year after the treatment started.
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