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Gastroenterology Insights
Volume 8
Issue 1
10.4081/gi.2017.6971
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Gastroenterology Insights is published by MDPI from Volume 11 Issue 1 (2020). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Interesting Case of Spontaneously Resolved Dysphagia in a Young Female due to Complicated Esophageal Tuberculosis

by
Dhaval Choksi
*,
Alisha Chaubal
,
Ruchir Patel
,
Chetan Rathi
,
Meghraj Ingle
and
Prabha Sawant
Department of Gastroenterology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai
*
Author to whom correspondence should be addressed.
Gastroenterol. Insights 2017, 8(1), 6971; https://doi.org/10.4081/gi.2017.6971
Submission received: 15 November 2016 / Revised: 4 March 2017 / Accepted: 10 March 2017 / Published: 22 November 2017

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.
Keywords: Esophageal tuberculosis; esophagomediastinal fistula Esophageal tuberculosis; esophagomediastinal fistula

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MDPI and ACS Style

Choksi, D.; Chaubal, A.; Patel, R.; Rathi, C.; Ingle, M.; Sawant, P. Interesting Case of Spontaneously Resolved Dysphagia in a Young Female due to Complicated Esophageal Tuberculosis. Gastroenterol. Insights 2017, 8, 6971. https://doi.org/10.4081/gi.2017.6971

AMA Style

Choksi D, Chaubal A, Patel R, Rathi C, Ingle M, Sawant P. Interesting Case of Spontaneously Resolved Dysphagia in a Young Female due to Complicated Esophageal Tuberculosis. Gastroenterology Insights. 2017; 8(1):6971. https://doi.org/10.4081/gi.2017.6971

Chicago/Turabian Style

Choksi, Dhaval, Alisha Chaubal, Ruchir Patel, Chetan Rathi, Meghraj Ingle, and Prabha Sawant. 2017. "Interesting Case of Spontaneously Resolved Dysphagia in a Young Female due to Complicated Esophageal Tuberculosis" Gastroenterology Insights 8, no. 1: 6971. https://doi.org/10.4081/gi.2017.6971

APA Style

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), 6971. https://doi.org/10.4081/gi.2017.6971

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