Tuberculosis as a primary cause of oesophageal stricture: a case report
| Autor: | William Manyillirah, Hervé Monka Lekuya, Ronald Mbiine, Ronald Kabuye |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Pulmonary and Respiratory Medicine
Adult medicine.medical_specialty Tuberculosis medicine.medical_treatment lcsh:Surgery Antitubercular Agents lcsh:RD78.3-87.3 Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Oesophageal stricture otorhinolaryngologic diseases medicine Humans 030212 general & internal medicine High grade dysplasia business.industry Tuberculous oesophagitis lcsh:RD1-811 General Medicine medicine.disease Dysphagia Surgery Cardiac surgery Esophagectomy TB stricture lcsh:Anesthesiology Cardiothoracic surgery Esophageal Stenosis 030211 gastroenterology & hepatology Female Esophagoscopy medicine.symptom Differential diagnosis Cardiology and Cardiovascular Medicine business Deglutition Disorders |
| Zdroj: | Journal of Cardiothoracic Surgery, Vol 13, Iss 1, Pp 1-5 (2018) |
| ISSN: | 1749-8090 |
| Popis: | Background Tuberculous (TB) oesophagitis is a rare manifestation of dysphagia occurring in 0.3% of all gastro-intestinal tract TB infections as well as 0.15% of all cases of dysphagia and often is misdiagnosed. This report presents a rare manifestation of TB as a cause of oesophageal stricture. Case presentation We describe a rare presentation of a patient with grade IV dysphagia due to an oesophageal stricture. Oesophagoscopy revealed a pinhole stricture with evidence of high grade dysplasia on histology. Subsequently an Ivor-Lewis oesophagectomy was performed and histology revealed evidence of active oesophageal tuberculosis. The patient had an uneventful recovery and completed anti-TB medication. Conclusions Oesophageal TB is a rare but curable cause of dysphagia. It may mimic cancer of the oesophagus and it is usually missed as a possible cause of oesophageal strictures. There needs to be an increased index of suspicion among patients with dysphagia in TB endemic regions. |
| Databáze: | OpenAIRE |
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