Isolated Pancreatic Tuberculosis Mimicking Pancreatic Cancer: A Diagnostic Challenge
| Autor: | Matthew Tortora, Muhammad Masoodul Haq, Dhanasekaran Ramasamy, Sunil Sapru, Abhishek Bhurwal |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Endoscopic ultrasound
History medicine.medical_specialty Abdominal pain Polymers and Plastics Case Report Gastroenterology Industrial and Manufacturing Engineering Mycobacterium tuberculosis 03 medical and health sciences 0302 clinical medicine Pancreatic tumor Internal medicine Pancreatic cancer medicine Pancreatic mass lcsh:RC799-869 Business and International Management biology medicine.diagnostic_test business.industry Jaundice medicine.disease biology.organism_classification medicine.anatomical_structure 030220 oncology & carcinogenesis lcsh:Diseases of the digestive system. Gastroenterology 030211 gastroenterology & hepatology medicine.symptom Pancreas business |
| Zdroj: | Case Reports in Gastrointestinal Medicine Case Reports in Gastrointestinal Medicine, Vol 2018 (2018) |
| ISSN: | 2090-6536 2090-6528 |
| DOI: | 10.1155/2018/7871503 |
| Popis: | Isolated pancreatic tuberculosis is an exceedingly rare condition, even in areas of the world where the disease is highly prevalent. Abdominal tuberculosis is a common form of extrapulmonary tuberculosis but involvement of the pancreas is very rare. We report a case of isolated pancreatic tuberculosis presenting as a pancreatic mass in a patient with persistent abdominal pain and jaundice. Clinically and radiologically, the mass mimicked a malignant pancreatic tumor with a vastly different prognostic implication and therapeutic approach. Endoscopic ultrasound with fine-needle aspiration (EUS-FNA) can provide valuable diagnostic information in this scenario. After the tissue showed evidence of acid-fast bacilli and the cultures showed growth of Mycobacterium tuberculosis, antituberculosis therapy was initiated. Conservative management is usually successful in alleviating symptoms and leading to a cure. The excellent response to ATT makes it imperative that these patients are diagnosed early and managed appropriately to avoid unnecessary surgery and associated morbidity. |
| Databáze: | OpenAIRE |
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