Abstract
Tuberculosis of the stomach is a rare disease. The diagnosis is difficult to establish clinically. The condition may be confused with peptic ulcer and with neoplasm of the stomach. In most cases an accurate diagnosis is made only after surgery. The following case seems worth recording. A 35 year-old woman was admitted in Jan. 1974, with complaints of nausea after meals and easy fatiguability. Roentogen study of the stomach showed not only an enlarged gastric angle with irregular rigidity of the lesser curvature but also tiny barium flecks. Endoscopy demonstrated an extensive area of shallow ulceration on the lesser curvature from the level of lower body of the stomach to gastric angle. The floor of the ulcer was granular and its margin was partly elevated. The gastric angle was markedly thickened. These findings were suggestive of either II c like advanced carcinoma or sarcoma. Biopsy under direct vision demonstrated tuberculous lesions. Chemotherapy was commenced with PAS and INAH. After 20 weeks it was not possible to detect any lesions endoscopically, but treatment is being continued. Further investigation revealed no overt sign of another tuberculous focus.
