Varshney S, Johnson C D
University Surgical Unit, Southampton General Hospital, UK.
Postgrad Med J. 1995 Sep;71(839):564-6. doi: 10.1136/pgmj.71.839.564.
Tuberculosis of the pancreas is extremely rare. We report a case which demonstrates the diagnostic confusion which may arise in this condition. A 55-year-old alcoholic caucasian man presented with loss of weight and obstructive jaundice. Ultrasonography, endoscopic retrograde cholangiopancreatography and computed tomography showed a mass lesion in the head of the pancreas, diagnosed as probably malignant. He underwent a Whipple's pancreatoduodencetomy and made a good recovery. Histological examination showed typical features of tuberculosis. In the absence of other foci of active disease chemotherapy was not given. He remains well 12 months after operation.
胰腺结核极为罕见。我们报告一例病例，该病例显示了这种情况下可能出现的诊断混淆。一名55岁的白种裔酗酒男性，出现体重减轻和梗阻性黄疸。超声检查、内镜逆行胰胆管造影和计算机断层扫描显示胰腺头部有一个肿块病变，诊断可能为恶性。他接受了惠普尔胰十二指肠切除术，恢复良好。组织学检查显示为典型的结核特征。由于没有其他活动性疾病病灶，未给予化疗。术后12个月他仍状况良好。
