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Establishment of a Mouse Severe Acute Pancreatitis Model using Retrograde Injection of Sodium Taurocholate into the Biliopancreatic Duct
Published on: April 1, 2022
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Peripancreatic tuberculosis
Sunita Aggarwal1, Sudipta Nandi2, Abhishek Verma2
1General Medicine, Maulana Azad Medical College, New Delhi, Delhi, India drsunita.mamc@gmail.com.
BMJ Case Reports
|December 12, 2023
Summary
Peripancreatic tuberculosis (PTB) is a rare condition mimicking pancreatic cancer. Early diagnosis using nucleic acid amplification tests aids effective antitubercular therapy and patient recovery.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Oncology
Background:
- Peripancreatic tuberculosis (PTB) is an uncommon form of extrapulmonary tuberculosis.
- Clinical and radiological features of PTB often overlap with pancreatic malignancy, complicating diagnosis.
Observation:
- A male patient presented with prolonged fever, weight loss, and obstructive jaundice.
- Imaging revealed a pancreatic mass, but its etiology (tuberculosis vs. malignancy) remained unclear.
Findings:
- Endoscopic ultrasound-guided fine needle aspiration cytology was performed.
- Nucleic acid amplification testing of the aspirate confirmed *Mycobacterium tuberculosis* infection, sensitive to rifampicin.
Implications:
- This case highlights the importance of considering PTB in the differential diagnosis of pancreatic masses.
- Timely diagnosis via molecular testing can prevent unnecessary surgery and guide appropriate antitubercular treatment.
- Prompt treatment with antitubercular therapy led to complete resolution of symptoms.
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