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6/15/2026 3:31:45 AM | Browse: 2 | Download: 3
Publication Name World Journal of Clinical Cases
Manuscript ID 119927
Country Saudi Arabia
Received
2026-02-10 00:56
Peer-Review Started
2026-02-10 01:00
First Decision by Editorial Office Director
2026-02-25 07:55
Return for Revision
2026-02-25 07:55
Revised
2026-03-14 17:32
Publication Fee Transferred
Second Decision by Editor
2026-05-14 02:42
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-05-14 06:14
Articles in Press
2026-05-14 06:14
Edit the Manuscript by Language Editor
2026-05-18 22:35
Typeset the Manuscript
2026-06-05 08:10
Publish the Manuscript Online
2026-06-15 03:31
ISSN 2307-8960 (online)
Open Access This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Gastroenterology & Hepatology
Manuscript Type Case Report
Article Title Extrapulmonary tuberculosis presenting with proximal oesophageal fistula and abdominal lymphadenopathy in a young man: A case report
Manuscript Source Invited Manuscript
All Author List Lama Mohamed, Ghassan Elsayed, Mohammed Kambal, Rami Soliman, Sufian Sirelkhatim and Eyad Gadour
ORCID
Author(s) ORCID Number
Lama Mohamed http://orcid.org/0009-0005-7715-6892
Ghassan Elsayed http://orcid.org/0009-0007-2950-2118
Mohammed Kambal http://orcid.org/0009-0000-0025-093X
Rami Soliman http://orcid.org/0009-0009-0913-2118
Sufian Sirelkhatim http://orcid.org/0009-0000-7557-8454
Eyad Gadour http://orcid.org/0000-0001-5087-1611
Funding Agency and Grant Number
Corresponding Author Eyad Gadour, CCST, Consultant, FACP, FRCP, MD, MRCP, Professor, Multiorgan Transplant Centre of Excellence, Liver Transplantation Unit, King Fahad Specialist Hospital, Ammar Bin Thabit Street, Dammam 32253, Saudi Arabia. eyadgadour@doctors.org.uk
Key Words Oesophageal tuberculosis; Oesophageal fistula; Pancreatic tuberculosis; Abdominal lymphadenopathy; Endoscopic ultrasound; Fine-needle aspiration; Paradoxical tuberculosis reaction; Case report
Core Tip Extrapulmonary tuberculosis (TB) may present with atypical and misleading features that mimic malignancy. We report a young man from a TB-endemic region with persistent abdominal pain, dysphagia and weight loss after successful Helicobacter pylori eradication who was found to have a very short proximal oesophageal fistula, diffuse pancreatic enlargement and subdiaphragmatic lymphadenopathy. Endoscopic ultrasound (EUS)-guided fine-needle aspiration of abdominal lymph nodes revealed granulomatous inflammation highly suggestive of TB. Standard anti-TB therapy, extended to 12 months because of fistulating oesophageal disease and probable pancreatic involvement, led to complete clinical and radiological resolution, despite an interim paradoxical reaction. This case underscores the need to consider TB in patients presenting with unexplained oesophageal fistula and abdominal lymphadenopathy, and illustrates the pivotal diagnostic role of EUS-guided tissue sampling.
Publish Date 2026-06-15 03:31
Citation

Mohamed L, Elsayed G, Kambal M, Soliman R, Sirelkhatim S, Gadour E. Extrapulmonary tuberculosis presenting with proximal oesophageal fistula and abdominal lymphadenopathy in a young man: A case report. World J Clin Cases 2026; 14(18): 119927

URL https://www.wjgnet.com/2307-8960/full/v14/i18/119927.htm
DOI https://doi.org/10.12998/wjcc.119927
Full Article (PDF) WJCC-14-119927-with-cover.pdf
CARE Checklist–2016 119927-CARE-Checklist-2016.pdf
Manuscript File 119927_Auto_Edited_073235.docx
Answering Reviewers 119927-answering-reviewers.pdf
Audio Core Tip 119927-audio.m4a
Conflict-of-Interest Disclosure Form 119927-conflict-of-interest-statement.pdf
Copyright License Agreement 119927-copyright-assignment.pdf
Signed Consent for Treatment Form(s) or Document(s) 119927-informed-consent-statement.pdf
Non-Native Speakers of English Editing Certificate 119927-non-native-speakers.pdf
Video 119927-Video-1.mov
Video 119927-Video-2.mov
Peer-review Report 119927-peer-reviews.pdf
Scientific Misconduct Check 119927-scientific-misconduct-check.png
Scientific Editor Work List 119927-scientific-editor-work-list.pdf
CrossCheck Report 119927-crosscheck-report.pdf