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Peripancreatic tuberculous lymphadenopathy. An impostor posing diagnostic difficulty
Jijo Velliyappillil Cherian1, Aravindh Somasundaram, Rajesh Prabhu Ponnusamy
1Department of Gastroenterology, Stanley Medical College, Chennai, India. drjijovc@yahoo.co.in
JOP : Journal of the Pancreas
|May 15, 2007
Summary
Peripancreatic tuberculosis is a rare condition that can mimic pancreatic cancer. Early consideration in differential diagnosis is crucial for accurate patient management.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Oncology
Background:
- Tuberculosis (TB) involvement of peripancreatic lymph nodes is uncommon.
- Clinical presentations of peripancreatic TB are variable and can mimic pancreatic cystic neoplasms.
Observation:
- A patient presented with fever, jaundice, supraclavicular lymphadenopathy, and weight loss, suggestive of pancreatic malignancy.
- Imaging and tumor markers also indicated a possible pancreatic malignancy.
Findings:
- Magnetic Resonance Imaging (MRI) was instrumental in identifying peripancreatic lymph node involvement.
- Biopsy of supraclavicular lymph nodes confirmed the diagnosis of tuberculosis.
Implications:
- Peripancreatic tuberculosis should be included in the differential diagnosis for cystic lesions in the pancreatic head.
- This case highlights the importance of considering rare infections in pancreatic pathology evaluations.
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