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Case Reports
. 1999 Dec;68(6):2344-6.
doi: 10.1016/s0003-4975(99)01160-1.

Esophageal tuberculosis: a rare presentation with massive hematemesis

H Y Fang  1 , T S Lin, C Y Cheng, A R Talbot
Affiliations
Case Reports

Esophageal tuberculosis: a rare presentation with massive hematemesis

H Y Fang et al. Ann Thorac Surg. 1999 Dec.

Abstract

A 43-year-old female presented with massive hematemesis. Esophagoscopy showed an ulcer 22 to 25 cm from the incisor with active bleeding. A thoracotomy and primary closure of the ulcer was performed. Massive hematemesis recurred 8 days later, resulting in hypovolemic shock. The thoracic esophagus was resected and histological examination showed granuloma with central caseous necrosis. Combined chemotherapy was given for 10 months. At 6 months after the subtotal esophagectomy, the esophagus was reconstructed using the right-side colon.

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