Isolated pancreatic tuberculosis with splenic tuberculosis mimicking lymphoma malignum: A case report.

Autor: Matondang SBRE; Department of Radiology, Faculty of Medicine, University of Indonesia, Jl. Pangeran Diponegoro No. 71, Central Jakarta 10430, Jakarta, Indonesia.; Cipto Mangunkusumo National General Hospital, Jl. Pangeran Diponegoro No. 71, Central Jakarta 10430, Jakarta, Indonesia., Wibowo TA; Department of Radiology, Faculty of Medicine, University of Indonesia, Jl. Pangeran Diponegoro No. 71, Central Jakarta 10430, Jakarta, Indonesia.; Cipto Mangunkusumo National General Hospital, Jl. Pangeran Diponegoro No. 71, Central Jakarta 10430, Jakarta, Indonesia., Hilmy IA; Faculty of Medicine, University of Indonesia, Jl. Pangeran Diponegoro No. 71, Central Jakarta 10430, Jakarta, Indonesia., Siregar TP; Department of Radiology, Faculty of Medicine, University of Indonesia, Jl. Pangeran Diponegoro No. 71, Central Jakarta 10430, Jakarta, Indonesia.; Cipto Mangunkusumo National General Hospital, Jl. Pangeran Diponegoro No. 71, Central Jakarta 10430, Jakarta, Indonesia., Yonathan IWM; Department of Radiology, Faculty of Medicine, University of Indonesia, Jl. Pangeran Diponegoro No. 71, Central Jakarta 10430, Jakarta, Indonesia.; Cipto Mangunkusumo National General Hospital, Jl. Pangeran Diponegoro No. 71, Central Jakarta 10430, Jakarta, Indonesia.
Jazyk: angličtina
Zdroj: Radiology case reports [Radiol Case Rep] 2023 Mar 01; Vol. 18 (5), pp. 1775-1778. Date of Electronic Publication: 2023 Mar 01 (Print Publication: 2023).
DOI: 10.1016/j.radcr.2023.01.105
Abstrakt: Tuberculosis is an endemic disease in certain parts of the world. This disease typically presents in the lungs, but it may also appear within the abdomen, such as in the pancreas. There can be challenges in diagnosing isolated pancreatic tuberculosis as it may mimic other diseases radiologically. We present a 33-year-old female with intermittent abdominal pain and weight loss. Chest x-rays showed normal findings while noncontrast abdominal computed tomography (CT) showed a solid cystic mass in the pancreas and in the spleen. Contrast-enhanced CT showed an inhomogeneous cystic mass in the body and tail of the pancreas with peripheral rim enhancement. A laparotomy procedure was performed, and tuberculosis was confirmed histopathologically. In this case report, we highlight the challenging nature of diagnosing isolated pancreatic and splenic tuberculosis due to its presentation, which is similar to other neoplastic processes.
(© 2023 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
Databáze: MEDLINE