Pancreatic tuberculosis: the great mimicker!

Tuberculous pancreatitis complicated by ruptured splenic artery pseudoaneurysm. M. Irfan, F. Thiavalappil, J. Nagaraj, T.H. Brown, D. Roberts, L. Mcknight, N.K. Harrison. Tuberculosis involving the pancreas is rare. We report a patient with pancreatic tuberculosis complicated by haemorrhage from a splenic artery pseudoaneurysm. As far as we are aware, the development of a splenic artery pseudoaneurysm in association with a large caseating mass of tuberculous pancreatic lymph nodes has not been reported previously. We review the literature and discuss the varied presentations of tuberculosis involving the pancreas or the pancreatic bed and its draining lymph nodes.

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Endoscopic ultrasonographic diagnosis of pancreatic tuberculosis in immunocompetent patients—A case series from eastern India

Indian Journal of Gastroenterology ◽

10.1007/s12664-021-01171-x ◽

2021 ◽

Author(s):

Debajyoti Chakraborty ◽

Ranajoy Ghosh ◽

Aniket Halder ◽

Dipankar Mondal ◽

Debashis Misra

Keyword(s):

Case Series ◽

Eastern India ◽

Ultrasonographic Diagnosis ◽

Pancreatic Tuberculosis ◽

Immunocompetent Patients

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Pancreatic Tuberculosis: A Rare Type of Extra Pulmonary Tuberculosis

The Indonesian Journal of Gastroenterology Hepatology and Digestive Endoscopy ◽

10.24871/1922018102-106 ◽

2018 ◽

Vol 19 (2) ◽

pp. 102

Author(s):

Dian Daniela

Keyword(s):

Pulmonary Tuberculosis ◽

Rare Type ◽

Extra Pulmonary Tuberculosis ◽

Pancreatic Tuberculosis ◽

Extra Pulmonary

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Isolated Pancreatic Tuberculosis Mimicking Pancreatic Cancer: A Diagnostic Challenge

Case Reports in Gastrointestinal Medicine ◽

10.1155/2018/7871503 ◽

2018 ◽

Vol 2018 ◽

pp. 1-4 ◽

Cited By ~ 2

Author(s):

Abhishek Bhurwal ◽

Muhammad Masoodul Haq ◽

Sunil Sapru ◽

Matthew Tortora ◽

Dhanasekaran Ramasamy

Keyword(s):

Pancreatic Tumor ◽

Extrapulmonary Tuberculosis ◽

Rare Condition ◽

Abdominal Tuberculosis ◽

Needle Aspiration ◽

Diagnostic Challenge ◽

Prognostic Implication ◽

Pancreatic Tuberculosis ◽

Antituberculosis Therapy ◽

Persistent Abdominal Pain

Isolated pancreatic tuberculosis is an exceedingly rare condition, even in areas of the world where the disease is highly prevalent. Abdominal tuberculosis is a common form of extrapulmonary tuberculosis but involvement of the pancreas is very rare. We report a case of isolated pancreatic tuberculosis presenting as a pancreatic mass in a patient with persistent abdominal pain and jaundice. Clinically and radiologically, the mass mimicked a malignant pancreatic tumor with a vastly different prognostic implication and therapeutic approach. Endoscopic ultrasound with fine-needle aspiration (EUS-FNA) can provide valuable diagnostic information in this scenario. After the tissue showed evidence of acid-fast bacilli and the cultures showed growth of Mycobacterium tuberculosis, antituberculosis therapy was initiated. Conservative management is usually successful in alleviating symptoms and leading to a cure. The excellent response to ATT makes it imperative that these patients are diagnosed early and managed appropriately to avoid unnecessary surgery and associated morbidity.

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