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Journal of Gastrointestinal & Digestive System | ISSN: 2161-069X | Volume: 8
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October 29-30, 2018 | San Francisco, USA
International Conference on
Gastrointestinal Cancer and Therapeutics
4
th
World Congress on
Digestive & Metabolic Diseases
26
th
Annual Congress on
Cancer Science and Targeted Therapies
Wrong entry: Gastro-splenic fistula formation in gastric tuberculosis presenting withmassive hematemesis
Kristoffer Ted M Angala
Baguio General Hospital and Medical Center, Philippines
M
assive hematemesis often presents from bleeding peptic ulcer disease, varices or on a lesser extent, from malignancies. When
interventions were stretched to cover these causes of bleeding, other etiologies need to be considered. We report a case of
massive hematemesis due to Gastric Tuberculosis presenting with Gastrosplenic fistula. The patient is a 62-year-old male who
presented with 6 months history of recurrent dull abdominal pain and an acute episode of hematemesis. The patient underwent
EGD and showed a large ulcer with raised edge starting at the CEJ. The patient was referred to Surgery service due to recurrent
hematemesis and underwent Exploratory Laparotomy which revealed a large ulcer seemingly involving the splenic hilum, with
the congested spleen. Histopathologic diagnosis showed chronic granulomatous inflammation consistent with tuberculosis. Anti-
Kochs treatment was started, the patient improved upon discharge. Gastroduodenal tuberculosis is rare and gastrosplenic fistula
resulting from tuberculosis is even rarer. There are no specific signs or symptoms and no characteristic endoscopic findings. It is our
recom¬men¬dation that among patients with a similar presentation who come from areas endemic for tuberculosis, every effort
should be made to confirm the diagnosis.
kristofferteodoro@gmail.comJ Gastrointest Dig Syst 2018, Volume 8
DOI: 10.4172/2161-069X-C8-086