DOI: 10.36347/sjmcr.2015.v03i05.012

Pages: 390-392

We report a rare case of gastric outlet obstruction from gastroduodenal tuberculosis. She was a 17 year old Nigerian Fulani girl with persistent prolonged vomiting and weight loss of eight months duration. A provisional diagnosis of gastric outlet obstruction secondary to chronic peptic ulceration was entertained. Preoperative upper gastrointestinal barium study and endoscopy were in keeping with gastric outlet obstruction. The histology of the multiple endoscopic gastric biopsies suggested chronic gastritis without demonstration of Helicobacter pylori. Patient was optimized for surgery. At surgery the stomach was markedly dilated. Striking findings were large supra and subpyloric lymph nodes. She had biopsy of the lymph nodes and gastrojejunostomy was done to bypass the obstruction. The histology report of the nodal biopsy suggested tuberculosis. She was commenced on anti-tuberculous therapy. She has been follow-up for more than one year. All symptoms have since disappeared and she has gained weight.