Tuberculosis of the pancreas is very rare and can present with many signs and symptoms, including obstructive jaundice, weight loss and a mass in the head of the pancreas. Hence the diagnosis of pancreatic tuberculosis remains a challenge and a high index of suspicion is required. If a tumour is suspected then an ultrasound- or CT-guided fine needle aspiration should be performed. Even if the initial microbiological results are negative, using conventional techniques, PCR can yield more rapid results and avoid an unnecessary laparotomy.
Annular pancreas is an uncommon and rarely reported congenital anomaly and thus is rarely suspected. A case is reported of an 82-year-old patient who presented with a 3-month history of nausea and vomiting associated with weight loss who at laparotomy was found to have an annular pancreas.
Rectus sheath haematoma (RSH) is an uncommon but well-described clinical entity. It is defined as an accumulation of blood in the sheath of the anterior rectus muscles. The functional characteristics of the rectus abdominis muscle are such that the commonest site for a haematoma is in the lower abdomen.
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