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[Pseudotumor pancreatic tuberculosis]

M Alvarez1, A Rodríguez, S Zabaleta

  • 1Sección de Aparato Digestivo, Hospital Txagorritxu, Vitoria, Gasteiz.

Revista Espanola De Enfermedades Digestivas
|August 1, 1994
PubMed
Summary
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A pancreatic mass was initially suspected to be a tumor but was diagnosed as tuberculosis. Effective anti-tuberculosis treatment confirmed the diagnosis and highlighted the importance of histological examination for pancreatic masses.

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Pathology

Background:

  • Pancreatic masses can present with diverse etiologies, posing diagnostic challenges.
  • Tuberculosis (TB) is an uncommon cause of pancreatic lesions, often mimicking neoplastic processes.
  • Accurate diagnosis is crucial for appropriate management and patient outcomes.

Observation:

  • A 59-year-old male presented with a toxic syndrome and a pancreatic pseudotumoral mass.
  • Initial pancreatic fine needle aspiration cytology results were negative for malignancy.
  • Liver and pancreatic surgical biopsies revealed chronic granulomatous tuberculous inflammation.

Findings:

  • Mycobacterium tuberculosis was identified in gastric juice.
  • Urine and sputum cultures were negative for Mycobacterium tuberculosis.

Related Experiment Videos

  • Tuberculostatic treatment with Rifampicin, Isoniazid, and Ethambutol proved effective.

    • Implications:

    • This case underscores the necessity of considering tuberculosis in the differential diagnosis of pancreatic masses, even with negative initial cytology.
    • Histological examination is paramount for definitive diagnosis of pancreatic lesions.
    • Early diagnosis and treatment of pancreatic tuberculosis can lead to favorable outcomes.