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Journal of Cardiothoracic Surgery

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Open Access 01-12-2018 | Case report

Tuberculosis as a primary cause of oesophageal stricture: a case report

Authors: Ronald Mbiine, Ronald Kabuye, Herve Monka Lekuya, William Manyillirah

Published in: Journal of Cardiothoracic Surgery | Issue 1/2018

Abstract

Background

Tuberculous (TB) oesophagitis is a rare manifestation of dysphagia occurring in 0.3% of all gastro-intestinal tract TB infections as well as 0.15% of all cases of dysphagia and often is misdiagnosed. This report presents a rare manifestation of TB as a cause of oesophageal stricture.

Case presentation

We describe a rare presentation of a patient with grade IV dysphagia due to an oesophageal stricture. Oesophagoscopy revealed a pinhole stricture with evidence of high grade dysplasia on histology. Subsequently an Ivor-Lewis oesophagectomy was performed and histology revealed evidence of active oesophageal tuberculosis. The patient had an uneventful recovery and completed anti-TB medication.

Conclusions

Oesophageal TB is a rare but curable cause of dysphagia. It may mimic cancer of the oesophagus and it is usually missed as a possible cause of oesophageal strictures. There needs to be an increased index of suspicion among patients with dysphagia in TB endemic regions.

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Title: Tuberculosis as a primary cause of oesophageal stricture: a case report
Authors: Ronald Mbiine
Ronald Kabuye
Herve Monka Lekuya
William Manyillirah
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: Journal of Cardiothoracic Surgery / Issue 1/2018
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-018-0743-4

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Tuberculosis as a primary cause of oesophageal stricture: a case report

Abstract

Background

Case presentation

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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