Franco-Paredes Carlos, Leonard Michael, Jurado Rafael, Blumberg Henry M, Smith Richard M
Department of Medicine, Emory University School of Medicine, Atlanta, Georgia 30303, USA.
Am J Med Sci. 2002 Jan;323(1):54-8. doi: 10.1097/00000441-200201000-00010.
Tuberculosis of the pancreas is a clinical entity rarely described in the literature. The pancreas is biologically protected from infection by Mycobacterium tuberculosis, probably because of the presence of pancreatic enzymes that interfere with the seeding of M. tuberculosis. However, when pathogens are able to overcome the resistance, they can have diverse presentations, such as pancreatic masses that can mimic carcinoma, obstructive jaundice, pancreatitis, and gastrointestinal bleeding. Herein we describe 2 cases of pancreatic tuberculosis that presented as multicystic masses, and we review the literature to describe the diverse clinical manifestations of this condition.
胰腺结核是一种在文献中很少被描述的临床实体。胰腺在生物学上受到保护,免受结核分枝杆菌感染,这可能是因为胰腺酶的存在会干扰结核分枝杆菌的播散。然而,当病原体能够克服这种抵抗力时,它们会有多种表现形式,如可模仿癌的胰腺肿块、梗阻性黄疸、胰腺炎和胃肠道出血。在此我们描述2例表现为多囊性肿块的胰腺结核病例,并回顾文献以描述这种疾病的多种临床表现。