Tuberculous pancreatic abscess presenting as acute pancreatitis in a renal transplant recipient

Jagose, Jinni T; Iyer, Venkateswaran K.; Kirpalani, Ashok; Oza, Umesh; Phadke, A.G.

doi:10.1016/s0002-9270(98)80066-x

Cited by 4 publications

(5 citation statements)

References 5 publications

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“…During the period from 1998 to 2016, a total of 187 studies reported 2082 cases of TB after SOT . The majority (135/187 [72.19%]) were case reports or series, while the remainder were retrospective studies (n = 43),…”

Section: Resultsmentioning

confidence: 99%

Mycobacterium tuberculosisafter solid organ transplantation: A review of more than 2000 cases

Abad

Razonable

2018

Clinical Transplantation

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Section: Resultsmentioning

confidence: 99%

Mycobacterium tuberculosisafter solid organ transplantation: A review of more than 2000 cases

Abad

Razonable

2018

Clinical Transplantation

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“…However, in recent years, this condition has been more frequently recognized and reported in both immunosuppressed individuals and in patients with no evidence of immunosuppression . In the immunosuppressed patients (anti‐HIV antibody‐positive patients, except for two post‐transplant patients) reported, tuberculous pancreatic abscess was the most common presentation 4,7,9,10. This presentation is so prominent that Jaber and Gleckman,4 in a review of 20 patients, used the term “AIDS‐defining disorder” for tuberculous pancreatic abscess.…”

Section: Discussionmentioning

confidence: 99%

Solitary pancreatic tuberculosis mimicking advanced pancreatic carcinoma

Özden

Emre

Demır

et al. 2001

Journal of Hepato-Biliary-Pancreatic Surgery

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A 40-year-old woman was referred for pancreatic head carcinoma invading the portal vein. The dichotomy between the radiological findings and the general condition of the patient, as well as the laboratory results (no evidence of cholestasis), cast doubt on the diagnosis. There was no history of tuberculosis. The chest radiograph revealed no pathological findings. The anatomic relationships of the lesion entailed a high risk of vascular injury if tissue biopsy were to be done; therefore, diagnostic laparotomy was performed. Biopsy revealed granulomas with caseous necrosis, consistent with tuberculosis. After 6 months of antituberculosis treatment, the lesions had completely resolved. Tuberculosis should be considered in the differential diagnosis of pancreatic masses, particularly in regions where the disease is endemic. The condition usually resembles an advanced pancreatic tumor. Performing a biopsy of inoperable lesions and maintaining a reasonable skepticism in regard to the evaluation of operable lesions (attention to nonexclusive but helpful clues, such as young patient age, history of tuberculosis, absence of jaundice) will lead to the diagnosis in most patients. Diagnostic laparotomy may be required in a small subset of patients. The response to antituberculosis treatment is very favorable. The role of resection (e.g., pancreatoduodenectomy) is very limited.

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“…4 Tuberculosis of the pancreas has been reported after renal transplantation. 6 Our patient was severely immunosuppressed because of the high doses of several immunosuppressive agents administered to control acute rejection of the liver resistant to steroid.…”

Section: Case Reportmentioning

confidence: 94%

“…Other manifestations reported in the literature include upper abdominal pain, fever of unknown origin, obstructive jaundice, acute pancreatitis, chronic pancreatitis, pancreatic abscess refractory to antibiotics, massive gastrointestinal hemorrhage caused by duodenal wall erosion, splenic vein thrombosis, and nonspecific symptoms with weight loss. [5][6][7][8][9][10][11][12][13][14] The diagnosis of pancreatic tuberculosis is usually very difficult because of its rarity and unspecificity of the symptoms. Absence of tuberculosis elsewhere, especially in the lungs, makes the diagnosis even more difficult, as in our case.…”

Section: Case Reportmentioning

confidence: 99%

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Isolated tuberculosis of the pancreas after orthotopic liver transplantation

et al. 1999

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A patient presented with intermittent high fever, upper abdominal pain, and loss of appetite 9 months after an orthotopic liver transplantation. Computed tomography showed a large mass in the pancreas that was confirmed at laparotomy. Pathological examination of the pancreatic biopsy specimen showed several chronic granulomatous lesions with caseating necrosis. Two and one half months after beginning antituberculous treatment, there was an important reduction of the pancreatic mass.

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Tuberculous pancreatic abscess presenting as acute pancreatitis in a renal transplant recipient

Cited by 4 publications

References 5 publications

Mycobacterium tuberculosisafter solid organ transplantation: A review of more than 2000 cases

Mycobacterium tuberculosisafter solid organ transplantation: A review of more than 2000 cases

Solitary pancreatic tuberculosis mimicking advanced pancreatic carcinoma

Isolated tuberculosis of the pancreas after orthotopic liver transplantation

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