Pramesh C S, Heroor A A, Shukla P J, Jagannath P M S, De Souza L J
Department of Gastroenterology Surgery, Tata Memorial Hospital, Mumbai 400 012, India.
Trop Gastroenterol. 2002 Jul-Sep;23(3):142-3.
Tuberculosis infrequently involves pancreas. The clinical features in patients with pancreatic tuberculosis are usually non-specific. The radiological features mimic pancreatic malignancy or pancreatitis. Ultrasound or CT scan guided fine needle aspiration cytology or biopsy may show caseating granulomatous inflammation. The present report includes two cases of pancreatic tuberculosis and review of relevant literature. One of our patients was diagnosed at laparotomy and the other with a CT scan guided fine needle aspiration cytology. Both patients responded well to anti tubercular chemotherapy and are now asymptomatic.
肺结核很少累及胰腺。胰腺结核患者的临床特征通常不具有特异性。影像学特征类似胰腺恶性肿瘤或胰腺炎。超声或CT引导下细针穿刺细胞学检查或活检可能显示干酪样肉芽肿性炎症。本报告包括两例胰腺结核病例并对相关文献进行综述。我们的一名患者在剖腹手术时被诊断，另一名通过CT引导下细针穿刺细胞学检查确诊。两名患者对抗结核化疗反应良好，目前均无症状。
