Raghavan Pooja, Rajan Dhyan
Department of Medicine, Mount Carmel Health, Columbus, OH 43222, USA.
Case Rep Med. 2012;2012:501246. doi: 10.1155/2012/501246. Epub 2012 Apr 24.
Despite the high prevalence of tuberculosis (TB) worldwide, pancreatic TB is rare. When present, pancreatic TB is frequently associated with miliary TB, often in immunocompromised hosts. Pancreatic TB may present as a pancreatic abscess, acute or chronic pancreatitis, and cystic or solid pancreatic masses. We present a case of an immunocompetent patient who presented with two discrete pancreatic masses and was subsequently diagnosed with isolated pancreatic TB. This case suggests that clinicians should have a heightened suspicion of pancreatic TB when faced with discrete pancreatic lesions, especially in patients from areas where the infection is endemic. Such recognition may lead to appropriate diagnostic testing, and possible resolution of pancreatic lesions with antituberculin therapy.
尽管结核病在全球范围内高发，但胰腺结核却很罕见。一旦出现，胰腺结核常与粟粒性结核相关，且多见于免疫功能低下的宿主。胰腺结核可能表现为胰腺脓肿、急性或慢性胰腺炎以及囊性或实性胰腺肿块。我们报告一例免疫功能正常的患者，该患者出现两个独立的胰腺肿块，随后被诊断为孤立性胰腺结核。该病例提示，临床医生在面对独立的胰腺病变时，尤其是来自感染流行地区的患者，应提高对胰腺结核的怀疑。这种认识可能会促使进行适当的诊断检测，并通过抗结核治疗使胰腺病变得到可能的缓解。
