INTRODUCTION: @entity378 is a major health problem worldwide. Sudan has high burden of @entity378 ( @entity378 ) with a prevalence of 209 cases per 100,000 of the population and it is commonly presented with @entity358 but involvement of the gastrointestinal tract is not uncommon. Abdominal @entity378 comprises about 1-3 % of all cases of @entity378 and about 12% of extrapulmonary @entity378 . It involves the ileocecal region, but involvement of stomach and duodenum are rare sites. Here we present an unusual case of @entity1084 due to @entity356 . CASE PRESENTATION: A 54-year-old Sudanese @entity1 presented with a non-bile stain persistent projectile vomiting, and @entity158 for two years associated with marked loss of weight. There is no fever or cough. He was on antacid, physical examination showed BMI 18 and stable vital signs. He was not pale or @entity1087 , there was no cervical @entity3329 and chest was clear. Abdominal examination was normal apart of positive succussion splash. The results of haematological tests were normal, ESR was 30 mm/hr, @entity1956 , C and @entity645 were negative. Upper gastrointestinal endoscopy showed that the stomach was full of fluid and food particles and ulcerated mass in the pylorus extended to the proximal part of the duodenum with severe narrowing of the pylorus. The lesion biopsied and the result revealed active inflammatory cells, cryptitis and multiple lymphoid follicles, no malignancy seen. Sonographic test showed hypodense @entity3928 , enlarged para-aortic and mesenteric lymph nodes and mild pelvic ascites. A computed tomography scan of the abdomen and pelvis showed antral hypodense lesions multiple mesenteric lymphadenopathies peritoneal thickening and ascites. Chest X-ray was normal. Intra-operative findings were dilated stomach and pylorus mass with multiple mesenteric lymph nodes, peritoneal and omental seedlings all over with small nodules on the surface of the liver, gastro-jejunostomy was done. Histopathology confirmed the diagnosis of @entity378 . Postoperative event was uneventful. Patient received anti- @entity378 . CONCLUSIONS: Here we presented an unusual case of @entity1084 due to primary @entity356 , @entity1 underwent surgery to relief his symptoms and received anti- @entity378 .

Primary XXXX presenting as @entity1084 : a case report and review of the literature.

@entity1 :: ('9606', 'Species') :: ['patient', 'man'] @entity3329 :: ('MESH:D008206', 'Disease') :: ['lymphadenopathy'] @entity1087 :: ('MESH:D007565', 'Disease') :: ['jaundiced'] @entity1956 :: ('MESH:D006509', 'Disease') :: ['hepatitis B'] @entity3928 :: ('MESH:C536030', 'Disease') :: ['pyloric mass'] @entity645 :: ('57667', 'Species') :: ['HIV'] @entity1084 :: ('MESH:D017219', 'Disease') :: ['gastric outlet obstruction'] @entity358 :: ('MESH:D008171', 'Disease') :: ['pulmonary disease'] @entity158 :: ('MESH:D010146', 'Disease') :: ['epigastric pain'] @entity378 :: ('MESH:D014376', 'Disease') :: ['Tuberculosis', 'abdominal tuberculosis', 'tuberculous', 'TB', 'tuberculosis'] @entity356 :: ('MESH:D013274', 'Disease') :: ['gastric tuberculosis']
@entity356 :: (MESH:D013274,Disease) :: ['gastric tuberculosis']
