A case of primary duodenal tuberculosis in a 8 years old male child is described. The child presented with clinical features of high intestinal obstruction. Upper GI contrast study suggested distal duodenal obstruction. Surgical exploration revealed stricture at distal end of second part of duodenum with enlarged mesenteric lymph nodes. Duodenoplasty with ATT resulted in a satisfactory recovery. The child is doing well on follow up for the last 6 months. Authors review their experience with the present case and the pertinent literature.
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