Duodenal Stenosis Secondary to Tuberculosis

作者：Kshirsagar Ashok Y^*; Kanetkar Sujata R; Langade Yogesh B; Potwar Sushrut S; Shekhar Neeraj

来源：International Surgery, 2008, 93(5): 265-267.

• Duodenal stenosis
• Duodenal tuberculosis

An 18-year-old man presented with complaints of epigastric pain, vomiting after meals, loss of appetite and weight, evening rise of temperature, and irregular bowel movements. Barium meal follow-through revealed a dilated stomach and first and second parts of the duodenum and stenotic lesion in the second part of the duodenum. Endoscopic biopsy of the stenotic lesion revealed acute on chronic nonspecific duodenitis with fibrosis. Isoperistaltic antecolic gastrojejunostomy was done to bypass the obstruction, and enlarged lymph nodes were biopsied. The biopsy of the enlarged lymph nodes revealed changes consistent with tuberculosis; therefore, the patient was started on antituberculous drugs in the postoperative period.

• 出版日期2008-10
• 单位河北医科大学