Tuberculosis of the pancreas: report of three cases

Three cases of pancreatic tuberculosis are described. The first patient presented with abdominal pain, weight loss, anorexia, vomiting, hepatomegaly, and mass in the head of the pancreas, on computerized tomographic (CT) scan. The second patient presented with low grade fever, anorexia, and weight l...

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Bibliographic Details
Published inThe American journal of gastroenterology Vol. 86; no. 6; p. 761
Main Authors Desai, D C, Swaroop, V S, Mohandas, K M, Borges, A, Dhir, V, Nagral, A, Jagannath, P, Sharma, O P
Format Journal Article
LanguageEnglish
Published United States 01.06.1991
Subjects
Adult
Diagnosis, Differential
Female
Humans
Laparotomy
Male
Middle Aged
Pancreatic Diseases - diagnosis
Pancreatic Diseases - surgery
Tuberculosis - diagnosis
Tuberculosis - surgery
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Summary:Three cases of pancreatic tuberculosis are described. The first patient presented with abdominal pain, weight loss, anorexia, vomiting, hepatomegaly, and mass in the head of the pancreas, on computerized tomographic (CT) scan. The second patient presented with low grade fever, anorexia, and weight loss, and was investigated for gallbladder disease. The third patient presented with obstructive jaundice and mass lesion in the head of the pancreas. Two patients underwent laparotomy for suspected pancreatic tumors. The findings of pancreatic disease was incidental during laparotomy in the second patient. The histopathology revealed caseating granuloma in all of them. The first patient responded well to treatment, and the second patient stopped treatment after 2 months and is well. The third patient is being followed. If malignancy can be ruled out, tuberculosis should be considered in relevant geographic areas, and a tissue diagnosis should be made.
ISSN:0002-9270
DOI:10.1111/j.1572-0241.1991.tb07127.x