Mansoor Junaid, Umair Bilal
Department of Surgery, Combined Military Hospital (CMH), Rawalpindi.
J Coll Physicians Surg Pak. 2013 Mar;23(3):226-8.
Primary pancreatic tuberculosis is an extremely rare entity, even in tuberculosis endemic areas. A 22-year-old male presented with features of obstructive jaundice. Ultrasonography and computed tomography scan showed mass in the pancreatic head for which he underwent a pancreatoduodenectomy. Histological examination of the specimen showed caseating granulomas. Antituberculous medicines were started and he remained well 18 months after surgery. Pancreatic tuberculosis is rare and is frequently confused with pancreatic cancer on clinical presentation as well as on imaging studies. A high index of suspicion is vital to avoid surgeries in this medically treatable, often misdiagnosed condition.
原发性胰腺结核极为罕见，即便在结核病流行地区亦是如此。一名22岁男性出现梗阻性黄疸症状。超声检查和计算机断层扫描显示胰头部有肿块，为此他接受了胰十二指肠切除术。标本的组织学检查显示有干酪样肉芽肿。开始使用抗结核药物治疗，术后18个月他情况良好。胰腺结核很罕见，在临床表现以及影像学检查方面常与胰腺癌相混淆。对于这种可通过药物治疗、却常被误诊的疾病，保持高度怀疑指数对于避免手术至关重要。
