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Pancreatic tuberculosis.

C S Pramesh1, A A Heroor, P J Shukla

  • 1Department of Gastroenterology Surgery, Tata Memorial Hospital, Mumbai 400 012, India. cspramesh@yahoo.com

Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation
|April 16, 2003
PubMed
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Pancreatic tuberculosis is rare, presenting with non-specific symptoms that mimic other conditions. Early diagnosis via fine needle aspiration or biopsy, followed by anti-tubercular chemotherapy, leads to successful outcomes.

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Oncology

Background:

  • Pancreatic tuberculosis is an uncommon manifestation of tuberculosis.
  • Clinical and radiological findings often present non-specifically, mimicking pancreatic malignancy or pancreatitis.
  • Accurate diagnosis can be challenging due to the rarity and non-specific presentation.

Observation:

  • This report details two cases of pancreatic tuberculosis.
  • Diagnostic methods included laparotomy and CT scan-guided fine needle aspiration cytology.
  • Both cases demonstrated caseating granulomatous inflammation upon pathological examination.

Findings:

  • One patient was diagnosed during laparotomy, while the other received a diagnosis through CT-guided fine needle aspiration cytology.

Related Experiment Videos

  • Both patients successfully responded to anti-tubercular chemotherapy.
  • Following treatment, both patients became asymptomatic.

    • Implications:

    • Highlights the importance of considering pancreatic tuberculosis in differential diagnoses, especially in endemic areas.
    • Emphasizes the utility of imaging-guided aspiration cytology for diagnosing pancreatic tuberculosis.
    • Demonstrates the efficacy of standard anti-tubercular chemotherapy for treating pancreatic tuberculosis, leading to favorable prognoses.