Revisiting tuberculosis as a cause of gastric outlet obstruction: Insights from a case report.

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL World Journal of Clinical Cases Pub Date : 2024-11-16 DOI:10.12998/wjcc.v12.i32.6563
Jin Meng, Li-Mei Zhang, Zhi-Gang Wang, Xiu Zhao, Hai-Xia Bai, Ying Wang, De-Yu Chen, De-Long Liu, Cheng-Chun Ji, Yuan Liu, Lei Wang, Bo-Yang Li, Zhi-Tao Yin
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Abstract

Gastroduodenal tuberculosis (GD-TB) is exceptionally rare. The clinical manifestations of gastrointestinal TB are diverse and non-specific, which makes diagnosis difficult, leading to delayed diagnosis and high mortality. As a peer-reviewer of World Journal of Clinical Cases, I would like to share my opinion on the article published by this journal. The patient had no family history of TB or contact with people with TB. Primary GD-TB presenting as gastric outlet obstruction and normal findings of thoracic computed tomography increased the difficulty of diagnosis and treatment in this patient. The diagnosis and treatment scheme of this typical case have reference value for the clinical treatment of GD-TB.

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重新审视作为胃出口梗阻病因的结核病:病例报告的启示。
胃十二指肠结核(GD-TB)异常罕见。胃十二指肠结核的临床表现多样且无特异性,这给诊断带来了困难,导致诊断延迟和高死亡率。作为《世界临床病例杂志》的同行评审员,我想就该杂志发表的这篇文章谈谈自己的看法。患者无结核病家族史,也未接触过结核病患者。原发性广东肺结核表现为胃出口梗阻,而胸部计算机断层扫描结果正常,这增加了该患者诊断和治疗的难度。该典型病例的诊断和治疗方案对GD-TB的临床治疗具有一定的参考价值。
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World Journal of Clinical Cases
World Journal of Clinical Cases Medicine-General Medicine
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期刊介绍: The World Journal of Clinical Cases (WJCC) is a high-quality, peer reviewed, open-access journal. The primary task of WJCC is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of clinical cases. In order to promote productive academic communication, the peer review process for the WJCC is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJCC are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in clinical cases.
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