A case report of Primary gastric tuberculosis mis–diagnosed as gastric cancer and operated for it.

Dr. Sachin Y. Sardeshpande; Dr Pranay Gandhi

Volume : V, Issue : XII, December - 2015

A case report of Primary gastric tuberculosis mis–diagnosed as gastric cancer and operated for it.

Dr. Sachin Y. Sardeshpande, Dr Pranay Gandhi

Abstract :

Gastric tuberculosis is an uncommon manifestation of extrapulmonary tuberculosis infection. The clinical signs of this type of infection are nonspecific and misleading. Clinically gastric tuberculosis resembles peptic ulcer disease or malignancy. We report a case of gastric tuberculosis, which was treated as acid peptic disease, in an immunocompetent adult with no pulmonary tuberculosis, who received surgery for gastric cancer. Diagnosis was based on PCR despite the detection of negative acid–fast bacilli in the histopathologic specimen. We recommend PCR for Mycobacterium tuberculosis to be done when granuloma or caseation is detected on biopsy in patients who are suspected of having gastric malignancy or acid peptic diseases.