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CASE REPORT
Year : 2022  |  Volume : 2  |  Issue : 3  |  Page : 106-109

Primary esophageal tuberculosis: A rare presentation of a common disease


1 Department of Medical Gastroenterology and Hepatology, SRM Institute for Medical Science Hospital, Chennai, Tamil Nadu, India
2 Department of Pathology, SRM Institute for Medical Science Hospital, Chennai, Tamil Nadu, India
3 Department of Radiology, SRM Institute for Medical Science Hospital, Chennai, Tamil Nadu, India

Correspondence Address:
Rohan Vijay Yewale
Department of Medical Gastroenterology and Hepatology, SRM Institute for Medical Science Hospital, No 1, Jawaharlal Nehru Salai, 100 Feet Road, Vadapalani, Chennai - 600 026, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ghep.ghep_19_22

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Developing countries such as India, harbor almost a quarter of global tuberculosis (TB) burden. Esophageal involvement in TB, itself is a rare entity with primary esophageal TB reported only as isolated case reports. We report a case of an immunocompetent young adult who presented with dysphagia as the solitary symptom. Upper GI endoscopy and barium swallow showed a midthoracic esophageal stricture. He was subsequently diagnosed with “primary” esophageal TB based on histological examination of endoscopic biopsy showing features consistent with TB and demonstration of normal adjacent pulmonary parenchyma and lymph nodes on a computed tomography scan of the thorax. He showed marked symptomatic improvement with temporary esophageal dilation and stenting which helped in the effective administration of antituberculous therapy as well as attaining nutritional recovery. Our case report emphasizes on this rare scenario of “primary” involvement of esophagus in an otherwise common disease such as TB and its management strategy.


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