Esophageal tuberculosis: a rare presentation with massive hematemesis.
A 43-year-old female presented with massive hematemesis. Esophagoscopy showed an ulcer 22 to 25 cm from the incisor with active bleeding. A thoracotomy and primary closure of the ulcer was performed. Massive hematemesis recurred 8 days later, resulting in hypovolemic shock. The thoracic esophagus was resected and histological examination showed granuloma with central caseous necrosis. Combined chemotherapy was given for 10 months. At 6 months after the subtotal esophagectomy, the esophagus was reconstructed using the right-side colon.
Fang
H Y
HY
Department of Surgery, Critical Care Medicine, Changhua Christian Hospital, Taiwan.
Lin
T S
TS
Cheng
C Y
CY
Talbot
A R
AR
D000328:Adult; D004935:Esophageal Diseases / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D005260:Female; D006396:Hematemesis / Q000209:etiology*; D006801:Humans; D014376:Tuberculosis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy