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Year : 2021  |  Volume : 1  |  Issue : 1  |  Page : 37-39

Duodenal tuberculosis

MIOT Advanced Center for GI and Liver Diseases, Chennai, Tamil Nadu, India

Correspondence Address:
Manoj Munirathinam
No. 14, 2nd Cross Street, Nolambur Phase 2, Mogappair West, Chennai - 600 037, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ghep.ghep_11_20

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Tuberculosis (TB) of the gastrointestinal tract is common in India. The most common site is the ileocecal region. TB involving the duodenum is rare. It can present as duodenal ulcer, gastric outlet obstruction, and rarely with periduodenal lymph nodal involvement and bile duct erosion. Here, we report a patient who presented with pain abdomen and significant weight loss. Evaluation revealed a duodenal ulcer with paraduodenal nodal mass with probable contained perforation. Endoscopic ultrasound with fine-needle aspiration cytology of the nodal mass revealed the diagnosis of TB. She was started on anti-TB therapy and responded well with complete resolution. This case report emphasizes the need for having TB as a differential diagnosis for duodenal ulcer in an endemic country like India.

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