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Pancreatic tuberculosis: an elusive diagnosis
C S Pramesh1, A A Heroor, S G Gupta
1Department of Gastroenterology Surgery, Tata Memorial Hospital, Mumbai, India. cspramesh@vsnl.net
Summary
Pancreatic tuberculosis is a rare condition with non-specific symptoms that can mimic other pancreatic diseases. Early diagnosis and anti-tuberculous chemotherapy lead to a good prognosis and cure.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Oncology
Background:
- Pancreatic tuberculosis is a rare entity.
- Clinical and radiological features often mimic pancreatic malignancy or pancreatitis.
- Diagnostic challenges include non-specific symptoms and difficulties in microbiological confirmation.
Purpose of the Study:
- To highlight the diagnostic challenges and successful treatment of pancreatic tuberculosis.
- To emphasize the importance of considering tuberculosis in the differential diagnosis of pancreatic masses.
Main Methods:
- Case report of two young men diagnosed with pancreatic tuberculosis.
- Diagnostic methods included fine-needle aspiration cytology (FNAC) and laparotomy.
- Treatment involved standard anti-tuberculous chemotherapy.
Main Results:
- Diagnosis was confirmed via FNAC in one patient and laparotomy in the other.
- Both patients responded well to anti-tuberculous chemotherapy.
- Patients became asymptomatic after treatment.
Conclusions:
- Tuberculosis should be included in the differential diagnosis of obscure pancreatic masses.
- Pancreatic tuberculosis is a curable condition with appropriate treatment.
- Early recognition and treatment are crucial for favorable outcomes.
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