Chonnam Med J.  2008 Apr;44(1):53-56. 10.4068/cmj.2008.44.1.53.

A Case of Secondary Gastric Tuberculosis Mimicking Submucosal Tumor

• Jung AD
• Seo YH
• Park SH
• Park JS
• Cho SC
• Lee NH
• Lee BK
• Ju SY
• Ko JS
• Ko HM
• Park CJ

• KMID: 1973392
• DOI: http://doi.org/10.4068/cmj.2008.44.1.53

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.

Keyword

Tuberculosis; Neoplasms; Ultrasonography

MeSH Terms

Peptic Ulcer
Prevalence
Republic of Korea
Tuberculosis
Tuberculosis, Gastrointestinal
Ulcer

Figure

• 

  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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