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. 2010 Jan 12:3:18.
doi: 10.1186/1757-1626-3-18.

Isolated pancreatic tuberculosis mimicking as carcinoma: a case report and review of the literature

Sudeep Khaniya  1 , Rabin Koirala, Vikal Chandra Shakya, Shailesh Adhikary, Rajendra Regmi, Sagar Raj Pandey, Chandra Shekhar Agrawal
Affiliations

Isolated pancreatic tuberculosis mimicking as carcinoma: a case report and review of the literature

Sudeep Khaniya et al. Cases J. .

Abstract

Introduction: Pancreatic tuberculosis is a rare disease even in endemic countries for tuberculosis. Here, we report a case of pancreatic tuberculosis from tuberculosis endemic zone presenting as obstructive jaundice mimicking pancreatic cancer.

Case presentation: A 41-year-old male presented with features of malignant obstructive jaundice. Ultrasonography and computed tomography scan showed mass in the pancreatic head and uncinate process. He underwent a pancreatoduodencetomy. Histological examination showed typical features of tuberculosis. Antitubercular drugs were started and he remains well six months after surgery.

Conclusion: Tuberculosis should be considered as a differential diagnosis to an obscure pancreatic mass in younger or middle aged patient residing in tuberculosis endemic zone.

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Figures

Figure 1
Figure 1
Contrast enhanced CT abdomen showing heterogeneous lesion in the head and uncinate process of pancreas with non enhancing areas suggestive of necrosis (arrow) and distended gall bladder.
Figure 2
Figure 2
Photomicrograph showing pancreatic parenchyma destroyed by granuloma (×400 H&E stain).
See this image and copyright information in PMC

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