Isolated pancreatic tail and splenic hilum tuberculosis: a rare case report
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View abstract on PubMed
Summary
This summary is machine-generated.Abdominal tuberculosis (TB) is a rare condition. Early diagnosis of pancreatic and splenic TB in upper abdominal masses is crucial to avoid misdiagnosis and unnecessary surgery.
Area Of Science
- Gastroenterology
- Infectious Diseases
- Radiology
Background
- Abdominal tuberculosis (TB) is an uncommon extrapulmonary form of TB.
- Pancreatic and splenic involvement are rare presentations of abdominal TB.
- These rare presentations are frequently misdiagnosed as malignancy.
Purpose Of The Study
- To highlight a rare case of abdominal tuberculosis involving the pancreas and spleen.
- To emphasize the diagnostic challenges and importance of considering TB in upper abdominal masses.
- To illustrate the successful conservative management of pancreatic and splenic TB.
Main Methods
- Case report of a 22-year-old female with chronic epigastric pain, weight loss, and fever.
- Diagnostic imaging (CT scan) revealed a necrotic lymph node mass and splenic infarction.
- Fine-needle aspiration cytology confirmed tuberculosis.
Main Results
- The patient presented with symptoms suggestive of malignancy but was diagnosed with abdominal TB.
- Imaging findings included a necrotic mass and splenic infarction.
- The patient responded well to anti-tubercular therapy, avoiding surgery.
Conclusions
- Abdominal TB, particularly involving the pancreas and spleen, should be considered in the differential diagnosis of upper abdominal masses.
- Early diagnosis and appropriate anti-tubercular therapy can prevent unnecessary surgical interventions.
- This case highlights the importance of considering TB in endemic regions.
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