Pandya Garvi, Dixit Ramakant, Shelat Vishal, Dixit Kalpana, Shah Nalin, Shah Kusum
Department of TB and Chest Diseases, BJ Medical College and Civil Hospital, Ahmedabad 380016.
J Indian Med Assoc. 2007 Mar;105(3):133-4, 136.
Tuberculosis of the pancreas is extremely rare and is most often associated with miliary tuberculosis or occurs in the immunocompromised patients. A case of isolated pancreatic tuberculosis in an immunocompetent patient is presented with constitutional symptoms and obstructive jaundice. Ultrasonography and computerised tomography showed a mass lesion in the head of pancreas. Histological examination of the peripancreatic lymph node and fine needle aspiration cytology from the head of pancreas confirmed the diagnosis following laparotomy. Patient recovered following the administration of antituberculosis chemotherapy.
胰腺结核极为罕见，最常与粟粒性结核相关或发生于免疫功能低下的患者。本文报告一例免疫功能正常患者的孤立性胰腺结核病例，该患者伴有全身症状和梗阻性黄疸。超声检查和计算机断层扫描显示胰腺头部有一肿块病变。剖腹手术后，胰腺周围淋巴结的组织学检查以及胰腺头部的细针穿刺细胞学检查确诊了该病。患者在接受抗结核化疗后康复。
