Pancreatic Tuberculosis With Duodenal Fistula Presenting as Life-Threatening Gastrointestinal Bleeding.

Autor:	Zaffar D; Department of Internal Medicine, University of Maryland Medical Center Midtown, Baltimore, MD., Ranabhat CB; Department of Internal Medicine, University of Maryland Medical Center Midtown, Baltimore, MD., Ismail A; Department of Internal Medicine, University of Maryland Medical Center Midtown, Baltimore, MD., Gogna G; American University of Antigua, St Johns, Antigua., Hossain S; American University of Antigua, St Johns, Antigua., Rodriguez GV; Department of Gastroenterology and Hepatology, University of Maryland Medical Center, Baltimore, MD., Disha S; Department of Gastroenterology and Hepatology, University of Maryland Medical Center, Baltimore, MD., Raymond K; Department of Gastroenterology and Hepatology, University of Maryland Medical Center, Baltimore, MD.
Jazyk:	angličtina
Zdroj:	ACG case reports journal [ACG Case Rep J] 2024 Mar 22; Vol. 11 (3), pp. e01318. Date of Electronic Publication: 2024 Mar 22 (Print Publication: 2024).
DOI:	10.14309/crj.0000000000001318
Abstrakt:	Pancreatic tuberculosis (TB) warrants heightened suspicion in individuals with pancreatic lesions and risk factors such as HIV, organ transplantation, or pertinent immigration history. We present a 38-year-old man who presented with hemodynamically unstable gastrointestinal bleeding. He was found to have pancreatic TB complicated by a duodenal ulcer with fistula. Following 1 month of antitubercular therapy, he experienced complete resolution of symptoms, healing of the duodenal ulcer, closure of the fistulous tract, and a decrease in the size of the pancreatic lesion as observed on imaging. Our case highlights the importance of early diagnosis and treatment of pancreatic TB. (© 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.)
Databáze:	MEDLINE
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