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[Abdominal tuberculous lymphadenitis simulating pancreatis cancer]
V Casolino1, V Arcuri, I Fontana
1Cattedra di Chirurgia Sostitutiva e dei Trapianti d'Organo, Università degli Studi di Genova.
Il Giornale Di Chirurgia
|June 1, 1997
Summary
Tuberculosis (TB) can affect the abdomen, presenting as a pancreatic head mass. Diagnosis is crucial, even with a negative skin test, as abdominal TB is increasingly recognized.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Oncology
Background:
- Abdominal masses can present with non-specific symptoms like fever, weight loss, and pain.
- Pancreatic head masses are often associated with malignancy or other common pathologies.
Observation:
- A patient presented with fever, weight loss, and abdominal pain.
- Abdominal sonography and CT revealed a pancreatic head mass.
Findings:
- Laparotomy and biopsy confirmed tuberculous lymphadenitis.
- Diagnosis was made despite a normal cutaneous tuberculin test (tuberculin skin test).
Implications:
- Abdominal tuberculosis (TBC) is an emerging concern in epidemiological studies.
- TBC should be considered in the differential diagnosis of subdiaphragmatic diseases.