The frequency and severity of intestinal tuberculosis have been significantly decreased due to the development of anti-tuberculosis chemotherapy, the preventive medicine, the vaccination and early detection-of pulmonary tuberculosis. Among the
gastrointestinal treat, the duodenum is one o site rarely involved by tuberculosis. It is very difficult to make a correct diagnosis of duodenal tuberculosis, and even more difficult for its early diagnosis due to its non-specific symptoms.
Recently,
the authors have experienced a case of duodenal tuberculosis presenting duodenal ulcer bleeding and obstructive jaundice due to tuberculous lymphadenitis. The patient was operated on for bleeding from a duodenal ulcer and ht diagnosis was
established at
laparotomy by the presence of tuberculous(caseating) granulomas with epitheloid cells and multinucleated giant cells (horse shoe shape) of the duodenum and pancreaticoduodenal lymph nodes. And then, the patient improved following the
administration
of
anti-tuber culous chemotherapy. So, we report this case with a review of literature. (Korean J Gastroenterol 1994 ; 26 : 573-578)
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