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Case Reports
. 2016 Jul 27;3(4):e91.
doi: 10.14309/crj.2016.64. eCollection 2016 Aug.

A Rare Case of Isolated Pancreatic Tuberculosis

Daniel J Waintraub  1 , Lionel S D'Souza  2 , Emilio Madrigal  3 , Manju Harshan  3 , Gil I Ascunce  2
Affiliations
Case Reports

A Rare Case of Isolated Pancreatic Tuberculosis

Daniel J Waintraub et al. ACG Case Rep J. .

Abstract

Pancreatic tuberculosis (TB) is a rare but important entity to consider when evaluating a pancreatic mass, especially in patients from endemic areas. Its clinical and radiologic features may mimic those of a pancreatic neoplasm, making it a difficult clinical diagnosis. We present a case of a 31-year-old Indian man who presented with fevers, night sweats, weight loss, and epigastric pain. Abdominal magnetic resonance imaging (MRI) showed a pancreatic head mass. Biopsy of the mass was consistent with pancreatic tuberculosis.

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Figures

Figure 1
Figure 1
Solid mass in the head of the pancreas as seen on EUS.
Figure 2
Figure 2
Pancreatic head mass. FNA smears revealed several granulomas with epithelioid histiocytes characterized by elongated and curved nuclei in a background of necrosis and chronic inflammation. Diff-quick stain, 600×.
Figure 3
Figure 3
Pancreatic head mass. ThinPrep preparation showing acid-fast bacilli, suggestive of mycobacterium TB, marked by black arrows. Ziehl–Neelsen stain, oil immersion, 1000×.
See this image and copyright information in PMC

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