Primary esophageal tuberculosis mimicking esophageal carcinoma on computed tomography: A case report
Primary esophageal tuberculosis mimicking esophageal carcinoma on computed tomography: A case report作者机构：Department of RadiologyAga Khan UniversityKarachi 74800Pakistan Medical CollegeAga Khan UniversityKarachi 74800Pakistan Department of SurgeryNew York University Winthrop HospitalNew YorkNY 11501United States
出 版 物：《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志（英文版）（电子版）)
年 卷 期：2019年第11卷第9期
页 面：373-380页
核心收录：
主 题：Case report Esophageal tuberculosis Esophageal carcinoma Computed tomography
摘 要：BACKGROUND Tuberculosis(TB)has a rare extrapulmonary manifestation known as esophageal tuberculosis,accounting for 0.2%of total TB *** TB typically presents with dysphagia,with retrosternal pain or odynophagia,but generalized symptoms such as low-grade fever,decreased appetite,and weight loss are also *** carcinoma and Crohn’s disease of the esophagus are important differential diagnoses with similar *** SUMMARY We present a case of a 25-year-old male,who presented with esophageal TB mimicking an esophageal *** work-up,Mantoux test,and chest X-ray were ***-swallow examination showed moderate dilatation of distal esophagus with a nodular and irregular *** tomography showed significant thickening of thoracic and distal esophagus with infiltration into the lesser omentum and large,centrally necrotic lymph nodes on gastro-hepatic ligament suggestive of a possible *** was performed and a biopsy of mural thickening was performed and sent for histopathological *** histopathology report and TB-polymerase chain reaction confirmed the diagnosis of esophageal *** patient was started on antituberculous therapy(ATT),and complete resolution of symptoms and disease was achieved in 6 *** Esophageal TB is an extremely rare,yet important differential diagnosis in a patient presenting with *** TB can mimic esophageal carcinoma on computed tomography *** patient responded well to a complete course of ATT.
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