A Case of Secondary Gastric Tuberculosis Mimicking Submucosal Tumor

Jung, An Doc; Seo, Young Ho; Park, Sang Hyun; Park, Jung Su; Cho, Sang Cheol; Lee, Nam Hun; Lee, Bong Kyu; Ju, So Young; Ko, Jun Seok; Ko, Hyang Mi; Park, Cheol Ju

doi:10.4068/cmj.2008.44.1.53

Chonnam Med J. 2008 Apr;44(1):53-56. Korean.
Published online Apr 30, 2008.
https://doi.org/10.4068/cmj.2008.44.1.53

Case Report

A Case of Secondary Gastric Tuberculosis Mimicking Submucosal Tumor

An Doc Jung, Young Ho Seo, Sang Hyun Park, Jung Su Park, Sang Cheol Cho, Nam Hun Lee, Bong Kyu Lee, So Young Ju, Jun Seok Ko,¹ Hyang Mi Ko,² and Cheol Ju Park³

Author information

Author notes

Copyright and License

- Department of Internal Medicine, Gwangju Veterans Hospital, Korea.
- ¹Department of Radiology, Gwangju Veterans Hospital, Korea.
- ²Department of Pathology, Gwangju Veterans Hospital, Korea.
- ³Department of Internal Medicine, Sangmu Hospital, Gwangju, Korea.
Corresponding author (Email: endoscopist@kornet.net )

Accepted March 19, 2008.

Abstract

Gastrointestinal tuberculosis has steadily decreased. But, it can occasionally be found in South Korea. The prevalence of gastric tuberculosis is lower than the other gastrointestinal tuberculosis. It is usually secondary to pulmonary or intestinal tuberculosis. Most commonly, it is presented as an ulcerative lesion on the lesser curvature of the antrum, it's clinical feature being similar to that of peptic ulcer disease. Very rarely, however, it mimics submucosal tumor. And only few such cases have been reported. We report here with a case of gastric tuberculosis, which was initially presented as a submucosal tumor.

Keywords

Tuberculosis; Neoplasms; Ultrasonography

Figures

Fig. 1
(A) There is hypoechoic mass (about 3.0×4.0 cm) on the gastric antrum in transabdominal ultrasonogarphy. (B&C) There is a submucosal tumor (arrow on B) with central low attenuation and several lymphadenopathies (arrow on C) in perigastric area on contrast enhanced on abdominal CT. (D) Endoscopic ultrasonography shows hypoechoic submucosal tumor with intact overlying mucosa and central ulceration. CT: Computed Tomography.

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Fig. 2
Endoscopic findings of stomach (A&B). (A) Initial finding shows a submucosal tumor with intact overlying mucosa and central ulceration at the posterior wall of antrum. (B) It shows only a hypertrophic lesion on a follow-up endoscopy. Chest CT findings (C&D). (C) Initial finding shows a tree-in-bud pattern and cavitary lesion containing consolidation at the posterior segment of both upper lobe. (D) The cavitary lesion was changed to a small nodule (D) on a follow-up chest CT.

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