Abstract
This paper deals with a case of duodenal tuberculosis encountered recently. The patient was a 26 year-old man who had undergone appendectomy and radical treatment of anal fistula. He had pulmonary tuberculosis with a cavity in the upper lung field. Tubercle bacilli were cultured in the sptum. Two weeks after hospitalization, he developed epigastric pain and postprandial vomiting, X-ray an upper gastrointestinal series revealed a marked annular stenosis in the descending part of the duodenum. Endoscopically, the papilla of Vater was observed in the lesion. X-ray examination of the large intestine revealed widespread tuberculous lesion from the ileocecal region to the transverse colon. He was treated conservatively with antituberculous drugs and his clinical course was uneventful. In order to investigate changes in the incidence of duodenal tuberculosis due to wide-spread use of chemotherapy, a comparison was made between cases developing before 1955 and those after 1955 through a review of the literatures. It was found that after 1955 duodenal tuberculosis also occurred in elderly patients, being located in the anal side of the papilla of Vater or horizontal part.
