Interesting case of spontaneously resolved dysphagia in a young female due to complicated esophageal tuberculosis

  • Dhaval Choksi | dhavalrchoksi@gmail.com Department of Gastroenterology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, India.
  • Alisha Chaubal Department of Gastroenterology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, India.
  • Ruchir Patel Department of Gastroenterology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, India.
  • Chetan Rathi Department of Gastroenterology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, India.
  • Meghraj Ingle Department of Gastroenterology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, India.
  • Prabha Sawant Department of Gastroenterology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, India.

Abstract

Mycobacterium tuberculosis can affect any organ of the body. Gastrointestinal tubercular involvement is fairly common. Esophageal tuberculosis though is uncommon. Esophageal tuberculosis accounts for only 0.3% of gastrointestinal tuberculosis. It presents with dysphagia, retrosternal pain, cough or constitutional symptoms. Complications like hemorrhage from the ulcer and development of fistulas like esophagomediastinal fistula is extremely uncommon. We report a case of a 27 years old female who presented with retrosternal pain, dysphagia and hematemesis. The patient had esophageal ulcer secondary to erosion of the esophagus by the subcarinal lymph nodes. Imaging was suggestive of esophagomediastinal fistula. Esophageal ulcer biopsy showed chronic tubercular infection. Culture from the esophageal biopsy confirmed the presence of tubercular bacilli. Patient responded to anti-tubercular therapy. Spontaneous dysphagia resolution prior to starting therapy was likely due to the rupture of the lymph node into the esophagus, which was compressing it initially. Esophageal tuberculosis presenting with hematemesis and fistula is extremely uncommon.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.
Published
2017-11-22
Info
Issue
Section
Case Reports
Keywords:
Esophageal tuberculosis, esophagomediastinal fistula
Statistics
  • Abstract views: 530

  • PDF: 197
How to Cite
Choksi, D., Chaubal, A., Patel, R., Rathi, C., Ingle, M., & Sawant, P. (2017). Interesting case of spontaneously resolved dysphagia in a young female due to complicated esophageal tuberculosis. Gastroenterology Insights, 8(1). https://doi.org/10.4081/gi.2017.6971

Most read articles by the same author(s)