González Alejandra, Baudagna Graciela, Gutiérrez Silvia C, Villaverde Marcelo, Monteverde Alfredo
Servicio de Clínica Médica, Hospital Nacional Profesor Alejandro Posadas, Haedo, Provincia de Buenos Aires, Argentina.
Acta Gastroenterol Latinoam. 2008 Sep;38(3):199-201.
Pancreatic tuberculosis (TB) is a rare condition in immunocompetent patients and often represents a diagnostic challenge. Pancreatic TB may present with protean manifestations. Imaging with ultrasound, computed tomographic (CT) or endoscopic ultrasound (EUS) usually reveals multicystic pancreatic masses, most frequently in the head of the pancreas. Fine needle aspiration or percutaneous biopsy guided by CT/ultrasound or EUS can be useful diagnostic tools. We report a case of a 60-year-old HIV-negative man who presented with a pancreatic mass and a pulmonary nodule that were subsequently diagnosed to be tuberculosis.
胰腺结核在免疫功能正常的患者中较为罕见,常常是一个诊断难题。胰腺结核可能有多种表现形式。超声、计算机断层扫描(CT)或内镜超声(EUS)成像通常显示为多囊性胰腺肿块,最常见于胰头。在CT/超声或EUS引导下进行细针穿刺或经皮活检可能是有用的诊断工具。我们报告一例60岁HIV阴性男性病例,该患者出现胰腺肿块和肺部结节,随后被诊断为结核病。