Demir K, Kaymakoglu S, Besisik F, Durakoglu Z, Ozdil S, Kaplan Y, Boztas G, Cakaloglu Y, Okten A
Division of Gastroenterohepatology; Department of Internal Medicine, Istanbul Medical Faculty, Istanbul, Turkey.
J Gastroenterol Hepatol. 2001 Sep;16(9):1071-4. doi: 10.1046/j.1440-1746.2001.02467.x.
In this study, two cases of biopsy-proven pancreatic tuberculosis are reported. The patients presented with fever, anorexia, fatigue, abdominal pain and weight loss. A differential diagnosis of fever of unknown origin was conducted. Computed tomography (CT) revealed a cystic mass image in the pancreatic head in one patient, and a hypodense lesion in the pancreatic head in the other. The first patient was diagnosed by a wedge biopsy specimen obtained in the exploratory laparotomy. The other patient was diagnosed by percutaneous fine-needle aspiration biopsy. Both patients were successfully treated with quadruple antituberculous therapy for 12 months. We concluded that especially in young patients who present with a mass in the pancreas, pancreatic tuberculosis should be considered among the differential diagnoses, particularly in developing countries and immunosuppressed individuals.
在本研究中，报告了两例经活检证实的胰腺结核病例。患者表现为发热、厌食、疲劳、腹痛和体重减轻。对不明原因发热进行了鉴别诊断。计算机断层扫描（CT）显示，一名患者胰头有囊性肿块影像，另一名患者胰头有低密度病变。首例患者通过剖腹探查术中获取的楔形活检标本确诊。另一例患者通过经皮细针穿刺活检确诊。两名患者均接受四联抗结核治疗12个月，治疗成功。我们得出结论，特别是对于出现胰腺肿块的年轻患者，在鉴别诊断中应考虑胰腺结核，尤其是在发展中国家以及免疫抑制个体中。
