Exceptional association of hepatic and pancreatic tuberculosis mimicking metastatic pancreatic neoplasia: A case report and review of the literature

Gartini, Sara; Ramdani, Abdelbassir; Rhazari, Meriem; Thouil, Afaf; Kouismi, Hatim; Aharmim, Mohammed; Bourkadi, Jamal Eddine

doi:10.1016/j.amsu.2022.103717

Cited by 2 publications

(2 citation statements)

References 25 publications

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“…In terms of clinical manifestations, abdominal pain was the most common symptom in patients, followed by weight loss, low fever, jaundice, or acute pancreatitis. [6,7,[17][18][19][20][21][22][23][24][25][26] We retrospectively analyzed the cases of pancreatic tuberculosis published in the past 2 years and found that except one case without abdominal pain, the other cases all showed abdominal pain. It is obviously different from low back pain caused by pancreatic cancer.…”

Section: Discussionmentioning

confidence: 99%

Pancreatic tuberculosis misdiagnosed for surgical treatment: clinical analysis of 3 cases and literature review

Zhou,

Wang,

et al. 2023

Journal of Pancreatology

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The incidence rate of pancreatic tuberculosis (PT) is low, and it is difficult to distinguish from pancreatic malignant tumor before operation. We present three patients diagnosed after surgical treatment. All three cases involved female patients who were admitted due to primary manifestation of abdominal pain. These patients did not exhibit symptoms such as jaundice or back pain, and their tumor markers were within normal range. The surgical interventions employed included partial resection of the tumor in one case, mass resection in another, and pancreaticoduodenectomy in the third. Preoperative puncture biopsy is essential for diagnosing pancreatic tuberculosis, and it should be actively conducted on patients with suspected cases. We summarize several common manifestations of pancreatic tuberculosis to find the possibility of tuberculosis during preoperative evaluation and avoid misdiagnosis and unnecessary surgery.

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Section: Discussionmentioning

confidence: 99%

Pancreatic tuberculosis misdiagnosed for surgical treatment: clinical analysis of 3 cases and literature review

Zhou,

Wang,

et al. 2023

Journal of Pancreatology

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“…A calcified lesion with a cheesy core observed during macroscopic on-site evaluation should be examined for tuberculosis [46]. The most important differential diagnoses are pancreatic ductal adenocarcinoma, pancreatic neuroendocrine neoplasia (PanNEN), metastases, autoimmune pancreatitis and lymphoma manifestations [83,85,87], or cystic neoplasms [88]. There is a lesion with a thick echogenic capsule and hyperechogenic and anechoic contents (between the markers) at the head of the pancreas.…”

Section: Pancreasmentioning

confidence: 99%

Comments and Illustrations of Ultrasound Findings in Extrapulmonary Tuberculosis Manifestations

Möller,

Löwe,

Jenssen

et al. 2024

Diagnostics

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This review describes the appearance of extrapulmonary tuberculosis manifestations in comprehensive and multiparametric ultrasound imaging. The aim is to increase awareness of typical ultrasound findings regarding extrapulmonary tuberculosis, correlate those with pathological features, and facilitate differential diagnosis. Point of care ultrasound protocols can be used as a screening method in high-risk populations, although the negative findings do not exclude tuberculosis. Conversely, the diagnosis of extrapulmonary tuberculosis can never be made using ultrasound alone, as many ultrasound findings in extrapulmonary tuberculosis are non-specific. However, ultrasound-based sampling techniques can significantly facilitate the collection of samples for microbiological or molecular proof of tuberculosis, as well as facilitating the establishment of alternative diagnoses.

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Exceptional association of hepatic and pancreatic tuberculosis mimicking metastatic pancreatic neoplasia: A case report and review of the literature

Cited by 2 publications

References 25 publications

Pancreatic tuberculosis misdiagnosed for surgical treatment: clinical analysis of 3 cases and literature review

Pancreatic tuberculosis misdiagnosed for surgical treatment: clinical analysis of 3 cases and literature review

Comments and Illustrations of Ultrasound Findings in Extrapulmonary Tuberculosis Manifestations

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