Solitary pancreatic tuberculosis in immunocompetent patients mimicking pancreatic carcinoma

In this study, two cases of biopsy‐proven pancreatic tuberculosis are reported. The patients presented with fever, anorexia, fatigue, abdominal pain and weight loss. A differential diagnosis of fever of unknown origin was conducted. Computed tomography (CT) revealed a cystic mass image in the pancre...

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Bibliographic Details
Published in:Journal of gastroenterology and hepatology 2001-09, Vol.16 (9), p.1071-1074
Main Authors: Demir, Kadir, Kaymakoglu, Sabahattin, Besisik, Fatih, Durakoglu, Ziya, Ozdil, Sadakat, Kaplan, Yersu, Boztas, Güngör, Cakaloglu, Yilmaz, Okten, Atilla
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Biopsy
diagnosis
Diagnosis, Differential
Digestive system
Female
Humans
Investigative techniques, diagnostic techniques (general aspects)
Medical sciences
Pancreas - diagnostic imaging
Pancreas - pathology
pancreatic carcinoma
Pancreatic Diseases - diagnostic imaging
Pancreatic Diseases - pathology
Pancreatic Neoplasms - diagnostic imaging
Pancreatic Neoplasms - pathology
pancreatic tuberculosis
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Tomography, X-Ray Computed
Tuberculosis, Gastrointestinal - diagnostic imaging
Tuberculosis, Gastrointestinal - pathology
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Summary:In this study, two cases of biopsy‐proven pancreatic tuberculosis are reported. The patients presented with fever, anorexia, fatigue, abdominal pain and weight loss. A differential diagnosis of fever of unknown origin was conducted. Computed tomography (CT) revealed a cystic mass image in the pancreatic head in one patient, and a hypodense lesion in the pancreatic head in the other. The first patient was diagnosed by a wedge biopsy specimen obtained in the exploratory laparotomy. The other patient was diagnosed by percutaneous fine‐needle aspiration biopsy. Both patients were successfully treated with quadruple antituberculous therapy for 12 months. We concluded that especially in young patients who present with a mass in the pancreas, pancreatic tuberculosis should be considered among the differential diagnoses, particularly in developing countries and immunosuppressed individuals.
ISSN:0815-9319
1440-1746
DOI:10.1046/j.1440-1746.2001.02467.x