Journal of Gastrointestinal Infections

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VOLUME 9 , ISSUE 1 ( January-December, 2019 ) > List of Articles

CASE REPORT

Pancreatic Mass: Remember Tuberculosis—A Rare Cause of Pancreatic Mass

Atul Jain, Gaurav Patel, Nabal K Mishra, Prabhunath, Subhajeet Dey, Tanweer Karim

Keywords : Anti-tubercular medications, Pancreatic mass, Pancreatic tuberculosis

Citation Information : Jain A, Patel G, Mishra NK, P, Dey S, Karim T. Pancreatic Mass: Remember Tuberculosis—A Rare Cause of Pancreatic Mass. J Gastrointest Infect 2019; 9 (1):50-52.

DOI: 10.5005/jp-journals-10068-3023

License: CC BY-NC 4.0

Published Online: 00-12-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Pancreatic tuberculosis is a rare disease. Patients with pancreatic tuberculosis often present with nonspecific symptoms, such as low-grade fever, weight loss, and abdominal pain, and with or without a history of tuberculosis or pancreatic disease. It is often misdiagnosed due to low index of suspicion and masquerading of its symptoms as more common pancreatic conditions such as pancreatic malignancy. This could result in unnecessary surgery. As this is a treatable disease that does not require surgery, it is imperative to diagnose this condition preoperatively. We report this patient of pancreatic mass presenting as locally advanced pancreatic malignancy, subsequently diagnosed to be pancreatic tuberculosis and successfully managed with anti-tubercular medications.


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  1. Yokoyama T, Miyagawa S, et al. Isolated pancreatic tuberculosis. Hepatogastroenterology 1999;46:2011–2014.
  2. Auerbach O. Acute Generalized Miliary Tuberculosis. Am J Pathol 1944;20:121–136.
  3. Hari S, Seith A, et al. Isolated tuberculosis of the pancreas diagnosed with needle aspiration: a case report and review of the literature. Tropical Gastroenterology 2005;26(3):141–143.
  4. Franco-Paredes C, Leonard M, et al. Tuberculosis of the pancreas: report of two cases and review of literature. American Journal of the Medical Sciences 2002;323:54–58. DOI: 10.1097/00000441-200201000-00010.
  5. Sharma SK, Mohan A. Extrapulmonary tuberculosis. Indian Journal of Medical Research 2004;120(no. 4):316–353.
  6. Saluja SS, Ray S, et al. Hepatobiliary and pancreatic tuberculosis: a two-decade experience. BMC Surgery 2007;7:10.
  7. Xia F, Poon RT, et al. Tuberculosis of pancreas and peripancreatic lymph nodes in immunocompetent patients: experience from China. World Journal of Gastroenterology 2003;9(6):1361–1364. DOI: 10.3748/wjg.v9.i6.1361.
  8. Pereira J M, Madureira AJ, et al. Abdominal tuberculosis: imaging features. European Journal of Radiology 2005;55(no. 2):173–180. DOI: 10.1016/j.ejrad.2005.04.015.
  9. Santhosh S, Mittal BR, et al. Role of (18)F-fluorodeoxyglucose positron emission tomography/computed tomography in the characterization of pancreatic masses: experience from tropics. J Gastroenterol Hepatol 2013;28:255–261. DOI: 10.1111/jgh.12068.
  10. Santhosh S, Bhattacharya A, et al. Pancreatic tuberculosis: Evaluation of therapeutic response using F-18 fluoro-2-deoxy-d-glucose positron emission tomography/computed tomography. Indian J Nucl Med 2014;29:257–259. DOI: 10.4103/0972-3919.142635.
  11. Sharma V, Rana SS, et al. Endoscopic ultrasound guided fine needle aspiration for diagnosis of pancreatic tuberculosis. JOP 2013;14:521.
  12. Sharma V, Rana SS, et al. Pancreatic tuberculosis. J Gastroenterol Hepatol 2016;31:310–318. DOI: 10.1111/jgh.13174.
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