Abstract
Diagnosis of tuberculosis of stomach is quite difficult without histologic examination of the rerected stomach. This study is a case report of tuberculosis of the stomach, of which diagnosis was confirmed by histologic finding of biopsy specimen obtained from the site of ulceration under direct-vision. Patient is a 26-year-old male who had generalized tuberculous lymphadenitis 6 months prior to admission. He was admitted to Osaka Medical College with a chief complaint of upper abdominal pain. Ulceration was found at the cardia of the stomach by both endoscopic and x-ray examinations. Tuberculosis as well as simple gas-tric ulcer and diverticulum was suspected as a cause of ulceration. Histologic finding of biopsied specimen taken at the site of ulceration was compatible with that of tuberculosis. Administration of antituberculous agents such as INAH, KM. and EB resulted in good re-sponse. Two months later, ulcer diminished markedly and 3 months later, ulcer underwent stage of scar (S) . No recurrence of ulcer occurred during following two years endoscopic followup. Discussions were made on the cases with tuberculosis of the stomach reported previously.
