The Korean Journal of Gastroenterology (대한소화기학회지)

The Korean Society of Gastroenterology (대한소화기학회)
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Gastric Tuberculosis Presenting as a Subepithelial Mass: A Rare Cause of Gastrointestinal Bleeding

위장관 출혈을 일으킨 상피하 종양으로 나타난 위 결핵

  • Kim, Tae Un (Department of Radiology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine) ;
  • Kim, Su Jin (Division of Gastroenterology, Department of Internal Medicine, Pusan National University Yangsan Hospital, Pusan National University School of Medicine) ;
  • Ryu, Hwaseong (Department of Radiology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine) ;
  • Kim, Jin Hyeok (Department of Radiology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine) ;
  • Jeong, Hee Seok (Department of Radiology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine) ;
  • Roh, Jieun (Department of Radiology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine) ;
  • Yeom, Jeong A (Department of Radiology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine) ;
  • Park, Byung Soo (Department of Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine) ;
  • Kim, Dong Il (Department of Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine) ;
  • Kim, Ki Hyun (Department of Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine)
  • 김태언 (부산대학교 의과대학 양산부산대학교병원 영상의학과) ;
  • 김수진 (부산대학교 의과대학 양산부산대학교병원 소화기내과) ;
  • 류화성 (부산대학교 의과대학 양산부산대학교병원 영상의학과) ;
  • 김진혁 (부산대학교 의과대학 양산부산대학교병원 영상의학과) ;
  • 정희석 (부산대학교 의과대학 양산부산대학교병원 영상의학과) ;
  • 노지은 (부산대학교 의과대학 양산부산대학교병원 영상의학과) ;
  • 염정아 (부산대학교 의과대학 양산부산대학교병원 영상의학과) ;
  • 박병수 (부산대학교 의과대학 양산부산대학교병원 외과) ;
  • 김동일 (부산대학교 의과대학 양산부산대학교병원 외과) ;
  • 김기현 (부산대학교 의과대학 양산부산대학교병원 외과)
  • Received : 2018.06.01
  • Accepted : 2018.07.02
  • Published : 2018.12.25
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Abstract

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.

Keywords

References

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