Bleeding from a Tuberculous Gastric Ulcer

Douglas Weissman, Vivek V. Gumaste, Pradyuman B. Dave, William Keh

Research output: Contribution to journalArticle

24 Scopus citations

Abstract

A 26‐yr‐oId male of Ecuadorian descent developed epigastric pain and bleeding per rectum, necessitating hospitalization. Upper endoscopy revealed an irregularly shaped gastric ulcer which was biopsied. Because of persistent bleeding and hemodynamic compromise, the patient underwent an exploratory laparotomy. Findings included peritoneal and visceral surfaces studded with small, round yellow lesions. Frozen section examination revealed granulomas with giant cells. Gastric biopsies from the endoscopy showed AFB. Although gastric involvement is seen in association with tuberculosis, the occurrence of upper gastrointestinal bleeding is unusual.

Original languageEnglish (US)
Pages (from-to)742-744
Number of pages3
JournalThe American Journal of Gastroenterology
Volume85
Issue number6
DOIs
StatePublished - Jun 1990

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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