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http://dx.doi.org/10.4166/kjg.2018.72.6.304

Gastric Tuberculosis Presenting as a Subepithelial Mass: A Rare Cause of Gastrointestinal Bleeding  

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)
Publication Information
The Korean Journal of Gastroenterology / v.72, no.6, 2018 , pp. 304-307 More about this Journal
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
Tuberculosis; Endoscopy; Subepithelial; Gastrointestinal hemorrhage;
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