Gastric Outlet Obstruction Due to Primary Duodenal Tuberculosis - A Case Report on Rare Presentation of an Uncommon Condition

Gastric outlet obstruction is commonly associated with malignancy and peptic ulcer disease. Duodenal tuberculosis as a cause of Gastric outlet obstruction is a rare clinical entity and poses a great diagnostic dilemma. We report cases of two young adults presenting with long-standing gastric outlet obstruction due to Duodenal Tuberculosis. Patients were evaluated using UGI endoscopy and USG scan. Exploratory Laparotomy was done in both cases, tissue biopsy was taken, and gastrojejunostomy was done to relieve the obstruction. Histopathology was positive for tuberculosis in both cases, and patients were started on antituberculous medication. At present, the patients have responded to antituberculous medications, and are asymptomatic.