위결핵

Despite the ubiquitous presence of tuberculosis, gastric involvement is so rare and is usually secondary to pulmonary or intestinal tuberculosis. It requires deliberate consideration in the differential diagnosis of many gastric lesions as it may simulate nontuberculous inflammatory disease, peptic ulcer, or gastric carcinoma. Such consideration may result in a correct diagnosis and the institution of proper therapy to avoid undue surgery. A case of gastric tuberculosis which was clinically diagnosed as gastric carcinoma was presented. A chest roentgenogram showed fibrostreaky infiltration with mottled calcified lesions in both lungs suggestive of inactive phase of old pulmonary tuberculosis. The diagnosis was confirmed with histological study of endoscopic specimen. Prompt antituber-culous therapy was given with some relief of his symptoms one month later.