Abstract
A86-year-old female was adrrlitted our hospital to examine an ulcerative disease of thedescending portion of the duodenum. Upper gastrointestinal X-ray and endoscopic examinations showed a circular ulcer and the diverticula, which was adjacent to the ulcer and 25×21mm in size. Histopatholegical study of biopsied specimens from the ulcer bed demonstrated noncaseating granuloma containing epitheloid cells and Langhans'giant cells. An anti-tuberculosis therapy was effective and the patient was diagnosed to have tuberculosis of the duodenum. Thiscase suggested that a duodenal diverticula influenced the infection of tuberculosis.
