Khaniya Sudeep, Koirala Rabin, Shakya Vikal Chandra, Adhikary Shailesh, Regmi Rajendra, Pandey Sagar Raj, Agrawal Chandra Shekhar
Department of Surgery, B, P, Koirala Institute of Health Sciences, Dharan, Nepal.
Cases J. 2010 Jan 12;3:18. doi: 10.1186/1757-1626-3-18.
Pancreatic tuberculosis is a rare disease even in endemic countries for tuberculosis. Here, we report a case of pancreatic tuberculosis from tuberculosis endemic zone presenting as obstructive jaundice mimicking pancreatic cancer.
A 41-year-old male presented with features of malignant obstructive jaundice. Ultrasonography and computed tomography scan showed mass in the pancreatic head and uncinate process. He underwent a pancreatoduodencetomy. Histological examination showed typical features of tuberculosis. Antitubercular drugs were started and he remains well six months after surgery.
Tuberculosis should be considered as a differential diagnosis to an obscure pancreatic mass in younger or middle aged patient residing in tuberculosis endemic zone.
即使在结核病流行国家,胰腺结核也是一种罕见疾病。在此,我们报告一例来自结核病流行区的胰腺结核病例,该病例表现为梗阻性黄疸,酷似胰腺癌。
一名41岁男性出现恶性梗阻性黄疸症状。超声检查和计算机断层扫描显示胰头和钩突有肿块。他接受了胰十二指肠切除术。组织学检查显示为典型的结核特征。开始使用抗结核药物治疗,术后六个月他情况良好。
对于居住在结核病流行区的中青年患者,胰腺出现不明肿块时,应将结核病列为鉴别诊断之一。