CASE: ? PRIMARY TUBERCULOSIS OF PANCREAS AND PERI PANCREATIC NODES^-www.drkeyurbhatt.in*

Wednesday, January 5, 2011

CASE: ? PRIMARY TUBERCULOSIS OF PANCREAS AND PERI PANCREATIC NODES^-www.drkeyurbhatt.in*

13 Yrs child with h/o pain in epigastric region for last 5 yrs..with back radiation. . . associated with nausea...anorexia....failure to thrive...
was ultimately recently diagnosed as chronic pancreatitis...with dilated duct...and bulky head....
ERCP tried but cannulation was failed....

Referred for surgical management....rest of the work up was completed and diagnosis of TROPICAL VARIETY OF CHRONIC PANCREATITIS was made..

CECT:

MRI:

SURGERY: LATERAL PANCREATICO JEJUNOSTOMY
FINDINGS: Were Caseating node over head of pancreas...near gastro colic vein...and peri pancreatic few nodes with caseation milking out cheesy material...
MPD was 10 mm and full of cheesy pus......