Isolated Pancreatic Tuberculosis Mimicking as Pancreatic Cancer: A Diagnostic Challenge

2017 ◽  
Vol 112 ◽  
pp. S756-S757
Author(s):  
Abhishek Bhurwal ◽  
Muhammad Masoodul Haq ◽  
Sunil Sapru ◽  
Dhanasekaran Ramasamy
Keyword(s):  
Pancreatic Cancer ◽  
Diagnostic Challenge ◽  
Pancreatic Tuberculosis

scholarly journals Isolated Pancreatic Tuberculosis Mimicking Pancreatic Cancer: A Diagnostic Challenge

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
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.

Pancreatic tuberculosis mimicking inoperable pancreatic cancer

2012 ◽  
Vol 23 (1) ◽  
pp. 95-97 ◽  
Author(s):  
Alper YAVUZ ◽  
Hakan BULUS ◽  
Altan AYDIN ◽  
Ali COSKUN
Keyword(s):  
Pancreatic Cancer ◽  
Pancreatic Tuberculosis

scholarly journals Involvement of mediastinal/intra.abdominal lymph nodes, spleen, liver, and left adrenal in presumed isolated pancreatic tuberculosis: An endoscopic ultrasound study

2015 ◽  
Vol 06 (01) ◽  
pp. 015-018 ◽  
Author(s):  
Surinder S. Rana ◽  
Vishal Sharma ◽  
Ravi Sharma ◽  
Deepak K. Bhasin
Keyword(s):  
Pancreatic Cancer ◽  
Lymph Nodes ◽  
Endoscopic Ultrasound ◽  
Pancreatic Head ◽  
Left Lobe ◽  
Normal Morphology ◽  
Pancreatic Tuberculosis ◽  
Ultrasound Study ◽  
Pancreatic Involvement ◽  
Hypoechoic Mass

AbstractBackground: Isolated pancreatic tuberculosis is very rare and closely mimics pancreatic cancer. Extra pancreatic involvement is very rare and has been rarely reported. Aim: Study the involvement of mediastinal/intra-abdominal lymph nodes, spleen, liver, and left adrenal in patients of isolated pancreatic tuberculosis using endoscopic ultrasound (EUS). Patients and Methods: Retrospective analysis of the records of 16 patients (12 males; mean age 37.8 ± 9.3 years) with pancreatic tuberculosis seen over last 4 years was done. Results: All 16 patients had a well-defined predominantly hypoechoic mass lesion in the pancreatic head and 7/16 (43%) patient had isolated pancreatic tuberculosis with no lymphadenopathy or extrapancreatic involvement. Nine (57%) patients had involvement of the peripancreatic lymph nodes and 6 (38%), 3 (19%), and 2 (13%) patients had celiac, periportal, and mediastinal nodes involvement, respectively. The diameter of the lymph nodes ranged from 1.2 cm to 2.6 cm with celiac lymph nodes being the largest. The left adrenal had normal morphology on EUS in all patients. The spleen and left lobe of the liver were also normal on EUS. Conclusions: Extra pancreatic involvement is seen in up to one-third of patients with presumed isolated pancreatic tuberculosis with involvement of peri-pancreatic and celiac lymph nodes being the commonest.

scholarly journals S1657 An Unusual Presentation of Pancreatic Tuberculosis Mimicking Pancreatic Cancer

2021 ◽  
Vol 116 (1) ◽  
pp. S741-S742
Author(s):  
Dario S. Borja Flores ◽  
Jonathan Kandiah ◽  
Naveen Anand ◽  
Nina Akbar ◽  
Samuel James
Keyword(s):  
Pancreatic Cancer ◽  
Unusual Presentation ◽  
Pancreatic Tuberculosis

scholarly journals Isolated pancreatic tuberculosis: A diagnostic challenge!!

2021 ◽  
Vol 9 (2) ◽  
pp. 123
Author(s):  
K Ramyasri ◽  
NS Harsha ◽  
SK Supreeth ◽  
P Lokesh ◽  
M Shekar ◽  
...  
Keyword(s):  
Diagnostic Challenge ◽  
Pancreatic Tuberculosis

scholarly journals A DIAGNOSTIC PITFALL: PANCREATIC TUBERCULOSIS MASQUERADING AS PANCREATIC CARCINOMA

2020 ◽  
pp. 80-82
Author(s):  
Amitrajit Dasgupta ◽  
Indranil Banerjee
Keyword(s):  
Weight Loss ◽  
Endoscopic Ultrasound ◽  
Rare Entity ◽  
Ultrasound Guided ◽  
Diagnostic Challenge ◽  
Diagnostic Pitfall ◽  
Pancreatic Tuberculosis ◽  
High Incidence ◽  
Hypoechoic Mass ◽  
Pancreatic Lymph Nodes

Isolated cases of Pancreatic Tuberculosis remains a rare entity even in countries with a high incidence of Tuberculosis. It presents as a hypoechoic mass on ultrasonography and imaging mimicking pancreatic malignancy. Consequently, it represents a diagnostic challenge both clinically (due to a similar array of symptoms) and radiologically. The diagnosis often requires tissue biopsy. The possibility of TB should be considered in the list of differential diagnoses of pancreatic mass and an endoscopic, ultrasound-guided biopsy might help to clinch the diagnosis of this potentially curable disease. Here, we report a case with symptoms of abdominal pain, progressive jaundice, and anorexia and weight loss, diagnosed to be a case of Disseminated Tuberculosis (Pancreatic TB) following Endoscopic Ultrasound guided FNAC of peri-pancreatic lymph nodes.

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