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  • Title: A rare cause of duodenal stricture.
    Author: Al-Hilou H, Carroll N, Jah A, Davies S, Parkes M.
    Journal: BMJ Case Rep; 2011 Feb 08; 2011():. PubMed ID: 22715182.
    Abstract:
    The authors report the case of a 62-year-old lady who had never lived overseas and who presented with symptoms of gastric outflow obstruction with weight loss. Endoscopic investigation demonstrated a tight, impassable stricture in the second part of the duodenum, with CT demonstrating a mass and surrounding lymphadenopathy. Extrinsic compression at this site in UK residents in late middle age usually heralds a diagnosis of pancreatic malignancy. In this case, investigation by endoscopic ultrasound with sampling of an otherwise inaccessible lymph node to obtain 'micro biopsies' by fine needle aspiration allowed a diagnosis of duodenal tuberculosis. The patient has responded to appropriate antibiotic therapy and is now well.
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