Gastric Tuberculosis Accompanied by Cutaneous Fistula: A Case Report
Gastric Tuberculosis (TB) is a rare presentation. Posterior gastric perforation with tuberculosis complications is extremely unusual. The authors herewith present a case of a 32-year-old male, with complaints of fever for two months and discharge from the left-side of the back for 15 days, through w...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2024-04-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/19277/67551_CE[Ra1]_F(SS)_PF1(KB_SS_OM)_Ref_Pat(OM)_PFA(OM)_PB(KB_KM)_PN(KM).pdf |
| _version_ | 1797229314340552704 |
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| author | Thulasikumar Ganapathy Rathnaganpathi Thulasikumar |
| author_facet | Thulasikumar Ganapathy Rathnaganpathi Thulasikumar |
| author_sort | Thulasikumar Ganapathy |
| collection | DOAJ |
| description | Gastric Tuberculosis (TB) is a rare presentation. Posterior gastric perforation with tuberculosis complications is extremely unusual. The authors herewith present a case of a 32-year-old male, with complaints of fever for two months and discharge from the left-side of the back for 15 days, through which ingested food particles were drained. The patient was a known case of Type 2 Diabetes Mellitus (T2DM) and was recently diagnosed with pulmonary TB. He was evaluated with an upper Gastrointestinal (GI) endoscopic biopsy, Contrast-enhanced Computed Tomography (CECT), and Gastrografin (GGF) studies to confirm the diagnosis. He presumably developed gastric ulceration with posterior perforation, tracking through the retroperitoneum and presenting as a subcostal abscess that was inadvertently incised and converted into a fistula. He was treated both medically and surgically. He recovered completely and discharged with full course of Antitubercular Treatment (ATT) drugs and didactic medications. The presence of a cutaneous fistula in association with gastric TB underscores the diverse clinical presentations of this infectious disease, emphasising the importance of early detection and tailored management approaches. |
| first_indexed | 2024-04-24T15:10:37Z |
| format | Article |
| id | doaj.art-5953d4ae52ae4790bac61e70bb1c3ab5 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-24T15:10:37Z |
| publishDate | 2024-04-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-5953d4ae52ae4790bac61e70bb1c3ab52024-04-02T11:11:10ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2024-04-011804091110.7860/JCDR/2024/67551.19277Gastric Tuberculosis Accompanied by Cutaneous Fistula: A Case ReportThulasikumar Ganapathy0Rathnaganpathi Thulasikumar1Senior Consultant, Department of Vascular Surgery, SPM Hospital, Chennai, Tamil Nadu, India.Senior Consultant, Department of Vascular Surgery, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India.Gastric Tuberculosis (TB) is a rare presentation. Posterior gastric perforation with tuberculosis complications is extremely unusual. The authors herewith present a case of a 32-year-old male, with complaints of fever for two months and discharge from the left-side of the back for 15 days, through which ingested food particles were drained. The patient was a known case of Type 2 Diabetes Mellitus (T2DM) and was recently diagnosed with pulmonary TB. He was evaluated with an upper Gastrointestinal (GI) endoscopic biopsy, Contrast-enhanced Computed Tomography (CECT), and Gastrografin (GGF) studies to confirm the diagnosis. He presumably developed gastric ulceration with posterior perforation, tracking through the retroperitoneum and presenting as a subcostal abscess that was inadvertently incised and converted into a fistula. He was treated both medically and surgically. He recovered completely and discharged with full course of Antitubercular Treatment (ATT) drugs and didactic medications. The presence of a cutaneous fistula in association with gastric TB underscores the diverse clinical presentations of this infectious disease, emphasising the importance of early detection and tailored management approaches.https://www.jcdr.net/articles/PDF/19277/67551_CE[Ra1]_F(SS)_PF1(KB_SS_OM)_Ref_Pat(OM)_PFA(OM)_PB(KB_KM)_PN(KM).pdfgastrografin studylaparotomyposterior perforationsubcostal abscesstuberculous granuloma |
| spellingShingle | Thulasikumar Ganapathy Rathnaganpathi Thulasikumar Gastric Tuberculosis Accompanied by Cutaneous Fistula: A Case Report Journal of Clinical and Diagnostic Research gastrografin study laparotomy posterior perforation subcostal abscess tuberculous granuloma |
| title | Gastric Tuberculosis Accompanied by Cutaneous Fistula: A Case Report |
| title_full | Gastric Tuberculosis Accompanied by Cutaneous Fistula: A Case Report |
| title_fullStr | Gastric Tuberculosis Accompanied by Cutaneous Fistula: A Case Report |
| title_full_unstemmed | Gastric Tuberculosis Accompanied by Cutaneous Fistula: A Case Report |
| title_short | Gastric Tuberculosis Accompanied by Cutaneous Fistula: A Case Report |
| title_sort | gastric tuberculosis accompanied by cutaneous fistula a case report |
| topic | gastrografin study laparotomy posterior perforation subcostal abscess tuberculous granuloma |
| url | https://www.jcdr.net/articles/PDF/19277/67551_CE[Ra1]_F(SS)_PF1(KB_SS_OM)_Ref_Pat(OM)_PFA(OM)_PB(KB_KM)_PN(KM).pdf |
| work_keys_str_mv | AT thulasikumarganapathy gastrictuberculosisaccompaniedbycutaneousfistulaacasereport AT rathnaganpathithulasikumar gastrictuberculosisaccompaniedbycutaneousfistulaacasereport |