CASE REPORT article
Front. Med.
Sec. Infectious Diseases: Pathogenesis and Therapy
Rare Case of Secondary Gastric Body Tuberculosis: Diagnostic Challenges Arising from the Insidious Spread of Abdominal Tuberculosis
Yijing Wang 1
Jie Cheng 1
An-Long Wang 1
Xiaowei Qiu 1
Xiaoshan Huang 2
1. Hangzhou Red Cross Hospital, Hangzhou, China
2. The Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China
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Abstract
Background: Gastric body tuberculosis is extremely rare and easy to be missed or misdiagnosed. Case presentation: A 62-year-old female with tuberculous peritonitis was receiving fomal antituberculosis treatment, the peritoneal and perihepatic nodules were absorbing during her regular follow-up, but contrast-enhanced CT scan of the abdomen revealed a solid mass on the anterior gastric wall that had penetrated the gastric wall, review her previous enhanced CT scans, we found the gradual extension of an abdominal tuberculous lesion into the gastric wall, which was almost ignored. Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) was performed , and finally comfirmed by pathology as gastric body tuberculosis. Conclusion: For patients with perigastric tuberculous lesions, regular follow-up with CT scan is crucial. When necessary, combining gastroscopy with EUS-FNA can help establish an early diagnosis.
Summary
Keywords
early diagnosis, Endoscopy, Enhanced CT scan, Fine-needleaspiration, Gastric tuberculosis
Received
23 January 2026
Accepted
12 February 2026
Copyright
© 2026 Wang, Cheng, Wang, Qiu and Huang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Xiaoshan Huang
Disclaimer
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