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KMID : 0377619730250030315
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Korean Jungang Medical Journal
1973 Volume.25 No. 3 p.315 ~ p.320
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Pyloric Obstruction Due to Tuberculosis of the Stomach and Tuberculosis of the Colon
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Abstract
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This 25 years-old Korean female was admitted to the surgical department of Wallace Memorial Baptist Hospital on September 9, 1969, with complaints of epigastric distress, indigestion, nausea, regurgitation vomiting 3 years in duration. For the several months he had been troubled with, indestion, hunger pain, regurgitation, epigastric distress, and strength.
Physical examination showed small hen´s egg sized mass on the right neck, and palpable mass on epigastric area and pain, tenderness and epigastric fullness.
Upper G-I series was suspected marked hypotonic and ptotic with dilatated stomach and not evacuated barium meals from stomach.
(Pyloric obstruction)
On September 9, 1969.
On September 12, 1969 the patient was operated through upper median incision, and perigastric lymphnode biopsy, partial omentectomy, antecolic type gastrojejunostomy and medication of tuberculosis drugs, P.A.S., I.N.H. streptomycin
1.0 gram were done.
On October 6, 1969 (postoperative 24th day).
The patient had upper G-I series. The contrast dye was directly evacuated to the jejunum from stomach and the barium enema showed marked mucosal irregularity with luminal narrowing and questionable shallow ulceration at the right half of transverse colon. Convalescence was uneventful and patient was discharged on October 14, 1969.
On December, 16, 1969 (postoperative 97th day) ´the patient visited at clinic (O.P.D.) and then checked upper G-I series. The result showed marked irregularity of the mucosal pattern of the stomach, and by-pass pathway formation due to gastro-jejunostomy, and original duodenal loop was demonstrated.
The pylosic obstruction due to tuberculosis of the stomach with large intestinal cervical lymphadenitis was briefly reviewed with literature.
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