Diallo I, Touré O, Sarr ES, Sow A, Ndiaye B, Diawara PS, Dial CM, Mbengue A, Fall F. Isolated esophageal tuberculosis: A case report. World J Gastrointest Endosc 2022; 14(9): 575-580 [PMID: 36186948 DOI: 10.4253/wjge.v14.i9.575]
Corresponding Author of This Article
Ibrahima Diallo, MD, Chief Doctor, Hepato-Gastroenterology, Hopital Principal de Dakar, 01 Avenue Nelson Mandela, Dakar 3006, Senegal. idiallo601@yahoo.fr
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Ibrahima Diallo, Hepato-Gastroenterology, Hopital Principal de Dakar, Dakar 3006, Senegal
Omar Touré, Abdoul Sow, Bineta Ndiaye, Fatou Fall, Hepatogastroenterology, Hopital Principal de Dakar, Dakar 3006, Senegal
Elhadji Souleymane Sarr, Department of Pathology, Hopital Principal de Dakar, Dakar 3006, Senegal
Papa Silman Diawara, Department of Biology, Hopital Principal de Dakar, Dakar 3006, Senegal
Cherif Mouhamed Dial, Department of Pathology, Hopital Général Idrissa Pouye, Dakar 3006, Senegal
Ababacar Mbengue, Department of Imaging, Hopital Principal de Dakar, Dakar 3006, Senegal
Author contributions: Diallo I performed the upper digestive endoscopy, followed up with the patient, and wrote the manuscript; Touré O, Sow A, and Ndiaye B contributed to collecting the patient’s clinical data, and participated in the follow-up; Sarr ES and Dial CM conducted the anatomopathological examinations; Diawara PS conducted the biological tests; Mbengue A performed the radiological examinations; Fall F supervised the manuscript; all authors have read and approved the final manuscript.
Informed consent statement: Consent was obtained from the patient.
Conflict-of-interest statement: All authors report no relevant conflict of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ibrahima Diallo, MD, Chief Doctor, Hepato-Gastroenterology, Hopital Principal de Dakar, 01 Avenue Nelson Mandela, Dakar 3006, Senegal. idiallo601@yahoo.fr
Received: May 3, 2022 Peer-review started: May 5, 2022 First decision: June 16, 2022 Revised: July 11, 2022 Accepted: August 6, 2022 Article in press: August 6, 2022 Published online: September 16, 2022 Processing time: 134 Days and 6.5 Hours
Abstract
BACKGROUND
Tuberculosis is endemic in Senegal. While its extra-pulmonary localization is rare, esophageal tuberculosis, particularly the isolated form, is exceptional. We report here a case of isolated esophageal tuberculosis in an immunocompetent patient.
CASE SUMMARY
A 58-year-old man underwent consultation for mechanical dysphagia that had developed over 3 mo with non-quantified weight loss, anorexia, and fever. Upper digestive endoscopy showed extensive ulcerated lesions, suggesting neoplasia. The diagnosis was confirmed by histopathology, which showed gigantocellular epithelioid granuloma surrounding a caseous necrosis. Thoracoabdominal computed tomography scan did not show another localization of the tuberculosis. The outcome was favorable with treatment.
CONCLUSION
Esophageal tuberculosis should be considered when dysphagia is associated with atypical ulcerated lesions of the esophageal mucosa, in an endemic area.
Core Tip: Isolated esophageal tuberculosis is rare. Often discovered during the exploration of dysphagia, the endoscopic aspects are not specific, and can simulate several pathologies. Biopsies can help with diagnosis by showing the granuloma to histology or by allowing molecular biology examinations. In this manuscript, we report a case of isolated esophageal tuberculosis with vast ulcers of the esophagus, which evolved without sequelae after treatment.
