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Abdominal tuberculosis with pancreatic involvement: a case report.
Summary
Abdominal tuberculosis can present as acute pancreatitis, even without lung involvement or immune deficiency. Early diagnosis and treatment of pancreatic tuberculosis lead to complete resolution of pancreatic damage.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Abdominal Imaging
Background:
- Abdominal tuberculosis (TB) is a diverse condition that can affect various organs.
- Pancreatic involvement in abdominal TB is rare, often presenting with non-specific symptoms.
- Distinguishing pancreatic TB from malignancy can be challenging.
Observation:
- A 27-year-old male presented with acute pancreatitis.
- Imaging revealed a pancreatic head mass and adenopathy, mimicking a tumor.
- No pulmonary TB or immunodeficiency was evident.
Findings:
- Histopathology confirmed granulomas with caseous necrosis and positive Ziehl-Neelsen staining.
- Mycobacterium tuberculosis was isolated from tissue cultures.
- The pancreatic mass and pancreatitis resolved completely after anti-TB treatment.
Implications:
- This case highlights the importance of considering abdominal tuberculosis in the differential diagnosis of pancreatic masses and acute pancreatitis.
- Early microbiological and histological confirmation is crucial for appropriate management.
- Timely initiation of anti-tuberculosis therapy can lead to favorable outcomes and complete recovery.