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KMID : 0359020000210060938
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Korean Journal of Gastrointestinal Endoscopy
2000 Volume.21 No. 6 p.938 ~ p.942
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A Case of Gastric Tuberculosis Presenting with Hematemesis
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구진하/Jin Ha Koo
심상군/이경수/성인경/류봉춘/문원/이상수/박동일/김영호/이풍렬/김재준/백승운/이종철/최규완/Sang Goon Shim/Kyung Su Lee/In Kyung Sung/Bong Choon Ryu/Won Moon/Sang-Soo Lee/Dong Il Park/Young-Ho Kim/Poong-Lyul Rhee/Jae Jun Kim/Seung Woon Paik/Jong Chul Rhee/Ky
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Abstract
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Gastric tuberculosis is quite rare and usually combined with pulmonary tuberculosis. Its diagnosis is so difficult as it is often unsuspected. We report a patient with gastric tuberculosis who presented with hematemesis in Korea. Upper endoscopy
showed
large, deep penetrating ulcer containing an exposed vessel and adherent clot in the body. Gastric biopsies revealed only chronic inflammation and no evidence of granuloma or malignancy. Diffuse mural thickening was noted on abdominal CT. The
diagnosis
was made postoperatively following gastrectomy for bleeding gastric ulcer. Microscopic examination of resected stomach showed peptic detritus and noncaseating granulomas. However, multiple caseating granulomas with Lagerhan's giant cells were
found
on
the examination of lymph nodes. The patient was treated with antituberculous therapy for 12 months without any complications.
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KEYWORD
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