JOP. J Pancreas (Online) 2006; 7(2):205-210.
University of Pittsburgh School of Medicine. Pittsburgh, PA, USA
CASE REPORT
Context: Pancreatic tuberculosis is an extremely rare clinical entity, despite the high prevalence of tuberculosis worldwide. The pancreas is protected from direct environmental exposure; therefore most cases of pancreatic tuberculosis arise from contiguous infection from peri-pancreatic lymph nodes or rarely from hematogenous
spread. Pancreatic tuberculosis can present as a cystic or solid pancreatic mass mimicking pancreatic malignancy. Diagnosing pancreatic tuberculosis is a clinical challenge and most cases are diagnosed after surgical exploration for presumed pancreatic cancer. Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is being used more frequently for imaging and sampling of pancreatic lesions. Immediate cytopathologic examination of tissue sampled by EUS increases the diagnostic yield and is standard in many
institutions.
Isolated Pancreatic Tuberculosis
KUWAIT MEDICAL JOURNAL
Kuwait Medical Journal 2004, 36 (4):290-292
Kuwait Medical Journal 2004, 36 (4):290-292
CASE REPORT
Tuberculosis of the pancreas is a clinical rarity and mimics pancreatic carcinoma both clinically and
radiologically. A 3 2 - y e a r-old Somali male patient presented with history of vague abdominal pain, weight loss, anorexia and jaundice. Radiological imaging showed gall stones, dilated common bile duct (CBD) and a hetrogenous pancreatic mass. Endoscopic retrograde cholangio pancreatography (ERCP) showed marked narrowing of the CBD with an impression of external compression. Cholecystectomy and holedochoduodenostomy (CDD) were performed after frozen section histopathology revealed the mass to be tuberculosis. P reoperative diagnosis of pancreatic tuberculos is requires a high index of suspicion and usually its diagnosis is established after surgical tre a t m e n t . T h e response to antituberculosis treatment is very effective.
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Dr. Keyur Bhatt- Best GI
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