yemenjmedYemen Journal of MedicinecoVolume 2 Issue 3MultidisciplinaryEnglishSeptember-DecemberNNY20231219ArticlePrimary duodenal tuberculosis in an 8-year-old child with gastric outlet obstructionEnglishY168170Rashmi Ranjana1EnglishNSaurav Srivastava1EnglishYDigamber Chaubey2EnglishYSandip KumarRahul3EnglishY10.32677/yjm.v2i3.3715Primary duodenal tuberculosis (TB) is a rare condition, particularly among children that is easily misdiagnosed even in endemic areas. We present a rare case report of primary duodenal TB in an 8-year-old child who presented with gastric outlet obstruction. Endoscopyguided biopsies were non-conclusive. The patient underwent exploratory laparotomy and during surgery, a 5 cm×5 cm mass was observed in the first part of the duodenum with thickening of the duodenal wall and mesenteric lymphadenopathy. Multiple biopsies were taken from the mass and lymph nodes, and a gastrojejunostomy was performed to relieve the obstruction. Histopathological examination of the duodenal mass and the lymph node samples showed caseating granuloma and giant cells, which are consistent with duodenal TB. The patient received a 6-month regimen of anti-tubercular treatment including 2 months of isoniazid, rifampicin, pyrazinamide, and ethambutol followed by 4 months of isoniazid and rifampicin; he has remained asymptomatic on 3 monthly follow-ups for the past 18 monthsEnglishAnti-tubercular therapy, Duodenal tuberculosis, Gastric outlet obstruction, Gastrojejunostomyhttps://www.yemenjmed.com/admin/abstract?id=78References16191. Chander V, Raina SK, Bhardwaj AK, et al. Clinico-epidemiological profile of extra pulmonary tuberculosis: A report from a high prevalence state of northern India. Public Health Res 2012;2:185-9.2. Khattab MA, Khan FY, Al Maslamani M, et al. Pulmonary and extra pulmonary tuberculosis in Qatar: A first retrospective population-based study. Adv Infect Dis 2015;5:148-53.3. Dhali A, Das K, Dhali GK, et al. Abdominal tuberculosis: Clinical profile and outcome. Int J Mycobacteriol 2021;10:414-20.4. Debi U, Ravisankar V, Prasad KK, et al. Abdominal tuberculosis of the gastrointestinal tract: Revisited. World J Gastroenterol 2014;20:14831-40.5. Basu S, Ganguly S, Chandra PK, et al. Clinical profile and outcome of abdominal tuberculosis in Indian children. Singapore Med J 2007;48:900-5.6. Israr S. Duodenal tuberculous stricture with multiple Jejunal and Ileal strictures: A rare cause of intestinal obstruction in a child. J Surg Pak 2022;27:139-42.7. Karmakar BC, Paria PP, Halder RC, et al. Gastric outlet obstruction: A rare presentation of abdominal tuberculosis. J Evol Med Dent Sci 2015;4:2833-6.8. Misra S, Kumar P, Mehta S, et al. Tubercular stricture of the duodenum in a child. J Paediatr Child Health 1992;28:338.9. Upadhyaya VD, Kumar B, Lal R, et al. Primary duodenal tuberculosis presenting as gastric-outlet obstruction: Its diagnosis. Afr J Paediatr Surg 2013;10:83-6.10. Moirangthem GS, Singh NS, Bhattacharya KN, et al. Gastric outlet obstruction due to duodenal tuberculosis: A case report. Int Surg 2001;86:132-4. 11. Bansal RK, Ranjan P, Kumar M, et al. A case series of gastric outlet obstruction secondary to tuberculosis: New diagnostic and treatment paradigm. J Dig Endosc 2014;5:121-5.