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Pancreatic Tuberculosis Complicated With Duodenal Bulb Fistula Mimics Walled-Off Necrosis: A Case Report
1Department of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi Province, China.
None:
We described a female patient whose abdominal imaging revealed a suspicious malignant mass in the neck of the pancreas, accompanied by signs of pancreatitis and walled-off necrosis. The diagnosis of granulomatous inflammation was ultimately established via endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB), with subsequent special staining and polymerase chain reaction confirming pancreatic tuberculosis. This case underscores the value of EUS-FNB in obtaining high-quality tissue samples, accurately targeting pancreatic lesions, avoiding unnecessary surgery, and enabling prompt and appropriate treatment planning. Pancreatic histopathological image: HE stain, ×40.
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Chronic Pancreatitis I: Introduction
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Chronic Pancreatitis I: Introduction
Acute Pancreatitis I: Introduction