Pancreatic Tuberculosis

Nagar, Arpit; Raut, Abhijit; Morani, Ajaykumar C.; Sanghvi, Darshana; Desai, Chirag S.; Thapar, Vinay B.

doi:10.1097/rct.0b013e31816c82bc

Cited by 66 publications

(38 citation statements)

References 11 publications

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“…Our patient presented with non-specific epigastric pain and constitutional features consistent with the published literature to date on pancreatic TB [4, 5, 7, 9]. He had non-specific markers of chronic inflammatory disease/TB in the form of anaemia, elevated ESR and a positive tuberculin skin test.…”

Section: Discussionsupporting

confidence: 76%

Isolated pancreatic tuberculosis masquerading as pancreatic cancer

Zacharia

Antony

Kolassery

et al. 2014

Gastroenterology Report

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Isolated pancreatic tuberculosis (TB) remains a rarity despite the high incidence of tuberculosis in many of the African and Asian countries. Presentation as discrete pancreatic mass often masquerades as pancreatic neoplasm and diagnosis may require histology. Extra-hepatic portal hypertension due to splenic vein thrombosis complicating pancreatic TB has been reported in the literature. We report here a case of isolated pancreatic TB with pancreatic head mass mimicking neoplasm with extra-hepatic portal hypertension. The possibility of TB should be considered in the list of differential diagnoses of pancreatic mass and an endoscopic, ultrasound-guided biopsy might help to clinch the diagnosis of this potentially curable disease.

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Section: Discussionsupporting

confidence: 76%

Isolated pancreatic tuberculosis masquerading as pancreatic cancer

Zacharia

Antony

Kolassery

et al. 2014

Gastroenterology Report

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“…In spite of the fact that pancreatic compromise by tuberculosis is rarely identified at imaging studies, at least one series has reported a prevalence of 8.3% of pancreatic involvement in 384 patients with diagnosis of abdominal tuberculosis. The described alterations include increased pancreas dimensions ( Figure 10 ), hypodense intrapancreatic collections or complex masses, besides peripancreatic lymphadenopathy ( 25 ) .…”

Section: Pancreasmentioning

confidence: 99%

Abdominal tuberculosis: a radiological review with emphasis on computed tomography and magnetic resonance imaging findings

et al. 2015

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Tuberculosis is a disease whose incidence has increased principally as a consequence of HIV infection and use of immunosuppressive drugs. The abdomen is the most common site of extrapulmonary tuberculosis. It may be confused with several different conditions such as inflammatory bowel disease, cancer and other infectious diseases. Delay in the diagnosis may result in significantly increased morbidity, and therefore an early recognition of the condition is essential for proper treatment. In the present essay, cases with confirmed diagnosis of abdominal tuberculosis were assessed by means of computed tomography and magnetic resonance imaging, demonstrating the involvement of different organs and systems, and presentations which frequently lead radiologists to a diagnostic dilemma. A brief literature review was focused on imaging findings and their respective prevalence.

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“…[ 3 , 4 ] Although majority of cases occurred as a part of disseminated tuberculosis, about half of patients denied a previous history of tuberculosis infection and more than half showed normal findings on chest radiographs. [ 4 , 5 , 11 , 12 ]…”

Section: Discussionmentioning

confidence: 99%

Calcified peripancreatic lymph nodes in pancreatic and hepatic tuberculosis mimicking pancreatic malignancy

et al. 2018

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Rationale:Tuberculosis remains a serious menace to the health of people. Isolated hepatic tuberculosis is rare and pancreatic tuberculosis is extremely rare. The preoperative diagnosis of pancreatic tuberculosis remains a great challenge.Patient concerns:A 58-year-old Asian woman was referred to our hospital for evaluation of low back pain for 4 years and abdominal pain for 1 month.Diagnoses:Computed tomography (CT) of the abdomen showed a hypodense mass in the pancreatic head and neck with abundant calcifications, a hypodense lesion in the liver without calcification, peripancreatic lymphadenopathy, calcifications in some lymph nodes. CT-guided fine needle aspiration biopsy of the hepatic lesion was carried out and the cytological examination revealed hepatic tuberculosis.Interventions:The patient was treated with antituberculous therapy for 1 year.Outcomes:Low back pain and abdominal pain disappeared 3 months after initial treatment and after 2 year of follow-up, the patient was asymptomatic.Lessons:Our data hint that calcifications in both pancreatic lesions and peripancreatic lymph nodes may suggest pancreatic tuberculosis rather than pancreatic malignancy.

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Pancreatic Tuberculosis

Abstract: Pancreatic tuberculosis can present with a variable spectrum of imaging findings. Tuberculosis of the pancreas should be considered as a diagnostic possibility in patients who present with a pancreatic space occupying lesion associated with peripancreatic lymphadenopathy.

Cited by 66 publications

References 11 publications

Isolated pancreatic tuberculosis masquerading as pancreatic cancer

Isolated pancreatic tuberculosis masquerading as pancreatic cancer

Abdominal tuberculosis: a radiological review with emphasis on computed tomography and magnetic resonance imaging findings

Calcified peripancreatic lymph nodes in pancreatic and hepatic tuberculosis mimicking pancreatic malignancy

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