Gastric tuberculosis mimicking submucosal tumor: a case series.

Abstract:

BACKGROUND:Gastric tuberculosis mimicking submucosal tumors is extremely rare and often misdiagnosed. CASE PRESENTATION:Three cases of gastric tuberculosis mimicking submucosal tumors were identified among patients admitted to local county hospitals because of upper abdominal discomfort and pain, with gastroscopy showing gastric submucosal tumors. The patients were admitted to our hospital for endoscopic ultrasonography (EUS). As EUS revealed evidence of tuberculosis for the first two patients, we first considered gastric tuberculosis. However, because of atypical characteristics of the miniature ultrasonic probe and EUS, the lesion in the third patient was misdiagnosed as a stromal tumor, and the patient underwent endoscopic submucosal dissection (ESD), and intraoperative characteristics and postoperative pathology confirmed the lesion to be tuberculosis. CONCLUSIONS:EUS is of great value in the diagnosis of gastric tuberculosis, especially gastric tuberculosis mimicking submucosal tumors. Here, we summarize some significant characteristics of gastric tuberculosis by EUS, which will be of substantial value to clinical work.

journal_name

BMC Gastroenterol

journal_title

BMC gastroenterology

authors

Zhu R,Zhou Y,Wang H,Di L,Zhao K,Tuo B,Wu H

doi

10.1186/s12876-020-1175-x

subject

Has Abstract

pub_date

2020-01-30 00:00:00

pages

23

issue

1

issn

1471-230X

pii

10.1186/s12876-020-1175-x

journal_volume

20

pub_type

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