孤立的胰腺结核病伪装为胰腺恶性瘤
Oseen Hajilal Shaikh1, Julia Sunil1, Sagar Prakash1
1Surgery, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, Pondicherry, India.
BMJ case reports
|July 4, 2023
概括
胰腺结核病是一种罕见的腹部感染,在一名中年男性身上被诊断出患有腹部疼痛和黄. 诊断通过内镜超声波引导细针吸收得到证实,导致用抗结核药物成功治疗.
科学领域:
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
- 腹部成像 腹部成像 腹部成像
背景情况:
- 胰腺结核病是一种异常罕见的肺外结核病的表现.
- 腹结核可以呈现出多样化,往往非特异性的症状,使诊断复杂化.
研究的目的:
- 报告一种罕见的胰腺结核病例.
- 要突出内镜超声波引导细针吸收在胰腺病变的诊断效用.
主要方法:
- 一个患有腹痛和阻塞性黄的病人的案例介绍.
- 诊断工作包括血液检查,成像研究 (超声波) 和胰腺头部病变的内超声波引导细针吸收 (EUS-FNA).
主要成果:
- 图像检查显示胰腺头部病变导致胆道扩张.
- 欧盟军-FNA证实了结核病的诊断.
- 患者对抗结核治疗的临床反应是积极的.
结论:
- 胰腺结核病虽然罕见,但应在胰腺头部质量的差异诊断中考虑,特别是在流行地区.
- EUS-FNA是确诊胰腺结核病的一个有价值的工具.
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