Isolated Pancreatic Tuberculosis: Report of Two Cases
Choukri El-Mehdi, Boufettal Rachid, Hajri Amal, Erreguibi Driss, Rifki Jai Saad, Chehab Farid, Nacer Sara, Haddad Fouad, El Rhaoussi Fatima-Zahra, Tahiri Mohamed, Hliwa Wafaa, Bellabah Ahmed, Badre Wafaa
Asian Journal of Research and Reports in Gastroenterology · pp. 112–115 · Published 14 Dec 2022
Abstract
Isolated pancreatic tuberculosis (PT) remains a rare entity even in countries where the disease is highly prevalent. It frequently presents as a mass mimicking a pancreatic malignancy. Therefore, it represents a diagnostic challenge. We report a case of a 27 years old woman who was admitted to surgery department after 3 weeks of epigastric abdominal pain and jaundice. The radiological findings revealed the presence of a pancreatic mass and multiple abdominal lymphadenopathy, suggestive of malignancy. Exploratory laparotomy with biopsy of peripancreatic lymph node confirmed the diagnosis of pancreatic tuberculosis. The second patient presented with heterogeneous necrotic mass in the pancreatic body. Computed tomography (CT)-guided biopsy made the diagnosis of pancreatic tuberculosis. The two patients were given antituberculous therapy and are now doing well. The diagnosis of PT should be considered when a pancreatic mass is observed to avoid misdiagnosis and establish early treatment.
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