Isolated pancreatic tuberculosis masquerading as pancreatic cancer

Isolated pancreatic tuberculosis (TB) remains a rarity despite the high incidence of tuberculosis in many of the African and Asian countries. Presentation as discrete pancreatic mass often masquerades as pancreatic neoplasm and diagnosis may require histology. Extra-hepatic portal hypertension due t...

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Bibliographic Details
Published inGastroenterology report Vol. 2; no. 2; pp. 154 - 157
Main Authors Zacharia, George S., Antony, Rajany, Kolassery, Sandesh, Ramachandran, Thazhath M.
Format Journal Article
LanguageEnglish
Published England Oxford University Press 01.05.2014
Subjects
Case Reports
pancreatic cancer
endoscopic ultrasonography
pancreatic tuberculosis
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Summary:Isolated pancreatic tuberculosis (TB) remains a rarity despite the high incidence of tuberculosis in many of the African and Asian countries. Presentation as discrete pancreatic mass often masquerades as pancreatic neoplasm and diagnosis may require histology. Extra-hepatic portal hypertension due to splenic vein thrombosis complicating pancreatic TB has been reported in the literature. We report here a case of isolated pancreatic TB with pancreatic head mass mimicking neoplasm with extra-hepatic portal hypertension. The possibility of TB should be considered in the list of differential diagnoses of pancreatic mass and an endoscopic, ultrasound-guided biopsy might help to clinch the diagnosis of this potentially curable disease.
ISSN:2052-0034
2052-0034
DOI:10.1093/gastro/gou017