Duodenal tuberculosis, even as a part of advanced generalized tuberculosis, is an unusual finding. Tuberculous disease of the duodenum, as an entity in itself and causing symptoms per se, is a very rare occurrence. The duodenum seems to be spared even when most of the remaining gastro-intestinal tract is involved. Perry and Shaw (1894), studying a series of 17,652 cases in which autopsy was done in Guy's Hospital in a period of sixty-six years, found only 11 cases of duodenal tuberculosis. Fenwick and Dodwell (1892) performed autopsy in 2,000 cases of pulmonary tuberculosis, 500 of which showed intestinal ulceration but in only 3.4 per cent (or 17) of this 500 was there duodenal involvement. Schwatt and Steinbach (1923), in 199 cases of pulmonary and generalized intestinal tuberculosis found 3 in which the duodenum was involved. Gossmann (1913) performed autopsy in 2,360 cases of tuberculosis, only 5 of which showed duodenal
MATTHEWS WB, DELANEY PA, DRAGSTEDT LR. DUODENAL TUBERCULOSIS: A REVIEW OF THE LITERATURE AND REPORT OF A CASE OF HYPERPLASTIC TUBERCULOSIS OF THE DUODENUM. Arch Surg. 1932;25(6):1055–1066. doi:10.1001/archsurg.1932.01160240047003
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