{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T15:40:06Z","timestamp":1745768406999,"version":"3.40.4"},"reference-count":27,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Gastroduodenal tuberculosis (GDTB) is rare in the West. Its presentation can be non-specific and often mimics other more common conditions such as peptic ulcer disease, malignancy and Crohn's disease. Our case describes a 33-year-old Indian immigrant who presented with a 3-year history of dyspepsia and underwent balloon dilation for gastric outlet obstruction (GOO). While biopsies from the duodenum revealed only non-caseating granuloma, a high index of suspicion was maintained and colonoscopy, performed despite the absence of lower gastrointestinal symptoms, revealed a single discrete nodular and ulcerated area in the proximal transverse colon; this eventually grew<jats:italic>Mycobacterium tuberculosis<\/jats:italic>. Our patient avoided undergoing major surgery and was successfully treated with balloon dilation and antitubercular medication. We highlight the importance of having a concerted, proactive approach to diagnosis. We discuss the therapeutic challenges involving this rare condition and explain the rationale for high-dose antisecretory therapy.<\/jats:p>","DOI":"10.1136\/bcr-2012-008277","type":"journal-article","created":{"date-parts":[[2013,5,23]],"date-time":"2013-05-23T12:55:26Z","timestamp":1369313726000},"page":"bcr2012008277","source":"Crossref","is-referenced-by-count":11,"title":["An unusual case of gastric outlet obstruction caused by tuberculosis: challenges in diagnosis and treatment"],"prefix":"10.1136","volume":"2013","author":[{"given":"Hari","family":"Padmanabhan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Rothnie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pradip","family":"Singh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,5,22]]},"reference":[{"key":"2025042708003455000_2013.may22_1.bcr2012008277.1","first-page":"305","article-title":"Abdominal tuberculosis","volume":"2013","author":"Sharma","year":"2004","journal-title":"Indian J Med Res"},{"key":"2025042708003455000_2013.may22_1.bcr2012008277.2","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1007\/s10156-008-0635-Y","article-title":"Surgical treatment of gastric outlet obstruction due to gastroduodenal tuberculosis","volume":"2013","author":"Manzelli","year":"2008","journal-title":"J Infect Chemother"},{"key":"2025042708003455000_2013.may22_1.bcr2012008277.3","first-page":"149","article-title":"Antro-duodenal tuberculosis causing gastric outlet obstruction\u2014a rare presentation of a protean disease","volume":"2013","author":"Gheorghe","year":"2002","journal-title":"Rom J Gastroenterol"},{"key":"2025042708003455000_2013.may22_1.bcr2012008277.4","first-page":"807","article-title":"Primary gastroduodenal tuberculous infection presenting as pyloric outlet obstruction","volume":"2013","author":"Di Placido","year":"1996","journal-title":"Am J Gastroenterol"},{"key":"2025042708003455000_2013.may22_1.bcr2012008277.5","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1111\/j.1445-2197.1993.tb00429.x","article-title":"Gastroduodenal tuberculosis","volume":"2013","author":"Ali","year":"1993","journal-title":"Aust N Z J Surg"},{"key":"2025042708003455000_2013.may22_1.bcr2012008277.6","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1186\/1471-230X-3-6","article-title":"Primary gastric tuberculosis\u2014report of 5 cases","volume":"2013","author":"Amarapurkar","year":"2003","journal-title":"BMC Gastroenterol"},{"key":"2025042708003455000_2013.may22_1.bcr2012008277.7","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/S0009-9260(88)80016-3","article-title":"Duodenal tuberculosis","volume":"2013","author":"Gupta","year":"1988","journal-title":"Clin Radiol"},{"key":"2025042708003455000_2013.may22_1.bcr2012008277.8","doi-asserted-by":"crossref","first-page":"1296","DOI":"10.1136\/gut.26.12.1296","article-title":"Abdominal tuberculosis in urban Britain\u2014a common disease","volume":"2013","author":"Palmer","year":"1985","journal-title":"Gut"},{"key":"2025042708003455000_2013.may22_1.bcr2012008277.9","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1093\/qjmed\/hcm125","article-title":"Abdominal tuberculosis in a district general hospital: a retrospective review of 86 cases","volume":"2013","author":"Ramesh","year":"2008","journal-title":"Q J Med"},{"key":"2025042708003455000_2013.may22_1.bcr2012008277.10","doi-asserted-by":"crossref","first-page":"1085","DOI":"10.1136\/gut.33.8.1085","article-title":"Epidemiological study of abdominal tuberculosis among Indian migrants and the indigenous population of Leicester, 1972\u20131989","volume":"2013","author":"Probert","year":"1992","journal-title":"Gut"},{"key":"2025042708003455000_2013.may22_1.bcr2012008277.11","first-page":"769","article-title":"Primary gastric tuberculosis: a case report and literature review","volume":"2013","author":"Subei","year":"1987","journal-title":"Am J Gastroenterol"},{"key":"2025042708003455000_2013.may22_1.bcr2012008277.12","first-page":"116","article-title":"Tuberculosis of the stomach and the stomach in tuberculosis; 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