title: Gastric tuberculosis presenting as linitis plastica: a case report and review of the literature.
abstract: Gastric tuberculosis is rare and usually presents as an ulcerated lesion or gastric outlet obstruction. Rarer presentations include massive gastrointestinal bleed and gastric perforation. A case of gastric tuberculosis presenting as linitis plastica is reported here. This is the first such case report. The patient was a young woman who presented with non-specific abdominal pain and significant weight loss. The gastric mucosa appeared oedematous and hyperaemic and there was spontaneous oozing of blood on upper gastrointestinal endoscopy. Computed tomography of the abdomen revealed diffuse thickening of the gastric wall. The diagnosis was confirmed by the presence of caseating granulomas with acid fast bacilli in the endoscopic biopsy specimen. The patient showed significant clinical improvement on four-drug anti-tuberculous treatment.
authors.affiliation: Pushpawati Singhania Research Institute, New Delhi, India. rup_talukdar@yahoo.com
authors.forename: Rupjyoti
authors.initials: R
authors.lastname: Talukdar
authors.forename: Sudeep
authors.initials: S
authors.lastname: Khanna
authors.forename: Nripen
authors.initials: N
authors.lastname: Saikia
authors.forename: Jagdish Chandra
authors.initials: JC
authors.lastname: Vij
mesh_terms: D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D005260:Female; D005753:Gastric Mucosa / Q000000981:diagnostic imaging / Q000473:pathology; D005773:Gastroscopy; D006801:Humans; D008039:Linitis Plastica / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D014057:Tomography, X-Ray Computed; D014385:Tuberculosis, Gastrointestinal / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy
chemical_list: D000995:Antitubercular Agents