Lakmal Kasun, Jayarajah Umesh, Chandraguptha Minidu Ravinda, Nandasena Malith, Pathirana Aloka
Department of Surgery, Faculty of Medicine, University of Sri Jayawardenepura, Nugegoda, Sri Lanka.
SAGE Open Med Case Rep. 2023 Sep 12;11:2050313X231200289. doi: 10.1177/2050313X231200289. eCollection 2023.
Pancreatic tuberculosis is an extremely rare condition. Its non-specific clinical and radiological findings resemble pancreatic malignancy. Here, we report a case of pancreatic tuberculosis that presented with abdominal pain and dyspeptic symptoms for 2 months and was misdiagnosed as a pancreatic cystic neoplasm. Abdominal magnetic resonance imaging showed a well-demarcated exophytic lesion with multiple T2 high signals small cystic areas in the anterior superior part of the head of the pancreas measuring 23 × 20 × 28 mm. This patient has undergone laparotomy and excision of the pancreatic mass. Histological examination revealed granulomatous inflammation of a lymph node with caseation, which was pathognomonic of tuberculosis. She was treated for tuberculosis for 6 months and has become symptom free. The diagnosis of pancreatic tuberculosis could be misleading and should be considered when dealing with pancreatic masses in countries with high incidence.
胰腺结核是一种极其罕见的病症。其非特异性的临床和影像学表现类似于胰腺恶性肿瘤。在此，我们报告一例胰腺结核病例，该患者出现腹痛和消化不良症状达2个月，最初被误诊为胰腺囊性肿瘤。腹部磁共振成像显示，在胰腺头部前上部有一个边界清晰的外生性病变，伴有多个T2高信号的小囊性区域，大小为23×20×28毫米。该患者接受了剖腹手术并切除了胰腺肿块。组织学检查显示淋巴结有肉芽肿性炎症并伴有干酪样坏死，这是结核病的特征性表现。她接受了6个月的抗结核治疗，现已无症状。胰腺结核的诊断可能会产生误导，在结核病高发国家处理胰腺肿块时应考虑到这一疾病。
