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Case Reports
. 2022 Sep 16;14(9):575-580.
doi: 10.4253/wjge.v14.i9.575.

Isolated esophageal tuberculosis: A case report

Ibrahima Diallo  1 , Omar Touré  2 , Elhadji Souleymane Sarr  3 , Abdoul Sow  2 , Bineta Ndiaye  2 , Papa Silman Diawara  4 , Cherif Mouhamed Dial  5 , Ababacar Mbengue  6 , Fatou Fall  2
Affiliations
Case Reports

Isolated esophageal tuberculosis: A case report

Ibrahima Diallo et al. World J Gastrointest Endosc. .

Abstract

Background: Tuberculosis is endemic in Senegal. While its extra-pulmonary localization is rare, esophageal tuberculosis, particularly the isolated form, is exceptional. We report here a case of isolated esophageal tuberculosis in an immunocompetent patient.

Case summary: A 58-year-old man underwent consultation for mechanical dysphagia that had developed over 3 mo with non-quantified weight loss, anorexia, and fever. Upper digestive endoscopy showed extensive ulcerated lesions, suggesting neoplasia. The diagnosis was confirmed by histopathology, which showed gigantocellular epithelioid granuloma surrounding a caseous necrosis. Thoracoabdominal computed tomography scan did not show another localization of the tuberculosis. The outcome was favorable with treatment.

Conclusion: Esophageal tuberculosis should be considered when dysphagia is associated with atypical ulcerated lesions of the esophageal mucosa, in an endemic area.

Keywords: Case report; Endoscopy; Esophagus; Tuberculosis.

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Conflict of interest statement

Conflict-of-interest statement: All authors report no relevant conflict of interest for this article.

Figures

Figure 1
Figure 1
Upper gastrointestinal endoscopy. A: Esophageal ulcer; B: Esophageal ulcer with nodules.
Figure 2
Figure 2
Esophageal biopsies. Esophageal ulcer detected in narrow band imaging.
Figure 3
Figure 3
Granuloma with caseous necrosis (hematoxylin-eosin: 10 ×).
See this image and copyright information in PMC

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