Andaluz García Irene, Suárez Ferrer Cristina, Mora Sanz Pedro
Aparato Digestivo, Hospital Universitario La Paz, España.
Aparato Digestivo, Hospital Universitario La Paz.
Rev Esp Enferm Dig. 2018 Jul;110(7):470-471. doi: 10.17235/reed.2018.5527/2018.
We report the case of a male with no medical history with acute cholangitis secondary to a pancreatic head´s mass suggestive of neoplasm. An EUS-FNA was performed where no atypical cells were identified but a granulomatous component did. The patient was finally diagnosed of disseminated tuberculosis with pancreatic involvement. Pancreatic tuberculosis is an infrequent entity that requires a high index of suspicion due to the variability of its forms of presentation and the high morbidity and mortality without targeted therapy.
我们报告了一例无病史的男性患者，其因胰头肿物提示肿瘤继发急性胆管炎。进行了超声内镜引导下细针穿刺抽吸活检（EUS-FNA），未发现非典型细胞，但发现了肉芽肿成分。该患者最终被诊断为播散性肺结核伴胰腺受累。胰腺结核是一种罕见的疾病，由于其表现形式多样，且未经针对性治疗时发病率和死亡率高，因此需要高度怀疑。
