Duodenum is a rare site of involvement in intestinal tuberculosis. We report a 19 years old boy who presented with nonbilious vomiting and weight loss. His workup showed stricture in ascending colon, multiple liver abscesses with pneumobilia on CT scan. Upper GI endoscopy revealed stricture in 2nd part of duodenum distally. He was operated and duodenojejunostomy with limited right hemicolectomy (for stricture in this part of gut) were done. Biopsy report was suggestive of tuberculosis. Antituberculous treatment was started. He responded well and gained 20 kg weight at 3 months follow-up.
Journal of the College of Physicians and Surgeons Pakistan
(2008). A unique variant of intestinal tuberculosis. Journal of the College of Physicians and Surgeons Pakistan, 18(10), 657-9.
Available at: http://ecommons.aku.edu/pakistan_fhs_mc_surg_gen/10