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KMID : 0614620180720060304
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Korean Journal of Gastroenterology
2018 Volume.72 No. 6 p.304 ~ p.307
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Gastric Tuberculosis Presenting as a Subepithelial Mass: A Rare Cause of Gastrointestinal Bleeding
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Kim Tae-Un
Kim Su-Jin
Ryu Hwa-Seong
Kim Jin-Hyeok
Jeong Hee-Seok
Roh Ji-Eun
Yeom Jeong-A
Park Byung-Soo
Kim Dong-Il
Kim Ki-Hyun
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Abstract
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Gastric tuberculosis accounts for approximately 2% of all cases of gastrointestinal tuberculosis. Diagnosis of gastric tuberculosis is challenging because it can present with various clinical, endoscopic, and radiologic features. Tuberculosis manifesting as a gastric subepithelial tumor is exceedingly rare; only several dozen cases have been reported. A 30-year-old male visited emergency room of our hospital with hematemesis and melena. Abdominal CT revealed a 2.5 cm mass in the gastric antrum, and endoscopy revealed a subepithelial mass with a visible vessel at its center on gastric antrum. Primary gastric tuberculosis was diagnosed by surgical wedge resection. We report a rare case of gastric tuberculosis mimicking a subepithelial tumor with acute gastric ulcer bleeding.
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KEYWORD
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Tuberculosis, Endoscopy, Subepithelial, Gastrointestinal hemorrhage
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