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Korean J Gastroenterol  <  Volume 72(6); 2018 <  Articles

Korean J Gastroenterol 2018; 72(6): 304-307  https://doi.org/10.4166/kjg.2018.72.6.304
Gastric Tuberculosis Presenting as a Subepithelial Mass: A Rare Cause of Gastrointestinal Bleeding
Tae Un Kim, Su Jin Kim1 , Hwaseong Ryu, Jin Hyeok Kim, Hee Seok Jeong, Jieun Roh, Jeong A Yeom, Byung Soo Park2, Dong Il Kim2 and Ki Hyun Kim2
Department of Radiology, Division of Gastroenterology, Department of Internal Medicine1, Department of Surgery2, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea
Correspondence to: Su Jin Kim, Division of Gastroenterology, Department of Internal Medicine, Pusan National University Yangsan Hospital, 20 Geumo-ro, Mulgeum-eup, Yangsan 50612, Korea. Tel: +82-55-360-1535, Fax: +82-55-360-1536, E-mail: endoksj@gmail.com, ORCID: https://orcid.org/0000-0003-3816-9664
Received: June 1, 2018; Revised: June 26, 2018; Accepted: July 2, 2018; Published online: December 25, 2018.
© The Korean Journal of Gastroenterology. All rights reserved.

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Gastric tuberculosis accounts for approximately 2% of all cases of gastrointestinal tuberculosis. Diagnosis of gastric tuberculosis is challenging because it can present with various clinical, endoscopic, and radiologic features. Tuberculosis manifesting as a gastric subepithelial tumor is exceedingly rare; only several dozen cases have been reported. A 30-year-old male visited emergency room of our hospital with hematemesis and melena. Abdominal CT revealed a 2.5 cm mass in the gastric antrum, and endoscopy revealed a subepithelial mass with a visible vessel at its center on gastric antrum. Primary gastric tuberculosis was diagnosed by surgical wedge resection. We report a rare case of gastric tuberculosis mimicking a subepithelial tumor with acute gastric ulcer bleeding.
Keywords: Tuberculosis; Endoscopy; Subepithelial; Gastrointestinal hemorrhage


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