A Case of Gastric Tuberculosis with Gastric Cancer Performed Laparoscopic Assisted Distal Gastrectomy

A 62-year-old man undergoing laparoscopic-assisted distal gastrectomy (LADG) for early gastric cancer and diagnosed with coexistent gastric tuberculosis postoperatively was admitted for appetite loss and tarry stool. Blood analysis showed marked anemia and gastrointestinal fiberscopy showed a giant gastric ulcer. Despite conservative therapy, the gastric ulcer was not cured. Gastrointestinal fiberscopy then showed early gastric cancer in addition to the gastric ulcer. After LADG, the man suffered persistent high fever. Histological examination showed gastric tuberculosis in the gastric ulcer. Despite administration of antituberculosis agents, his general condition worsened and he died. Coexistent gastric tuberculosis associated with gastric cancer is rare, but should be included in the differentiated diagnosis of tuberculosis.