Pancreaticoduodenal tuberculosis simulating metastatic ovarian carcinoma.
A patient from Thailand presented with symptoms suggestive of peptic ulceration. Radiology showed an ulcerated duodenal stricture, a pancreaticoduodenal mass and extensive retroperitoneal lymphadenopathy suggestive of metastatic carcinoma. Tuberculosis was diagnosed only at laparotomy. The incidence of tuberculosis is increasing, and alimentary tuberculosis should be considered in patients from populations at risk presenting with obscure abdominal complaints or unexplained radiologic findings.
Zalev
A H
AH
Department of Medicine, University of Toronto, Ontario.
Sacks
J S
JS
Warren
R E
RE
D000232:Adenofibroma / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D000328:Adult; D000995:Antitubercular Agents / Q000008:administration & dosage / Q000627:therapeutic use; D001706:Biopsy; D003937:Diagnosis, Differential; D004378:Duodenal Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D005260:Female; D006801:Humans; D007813:Laparotomy; D010051:Ovarian Neoplasms / Q000175:diagnosis* / Q000503:physiopathology / Q000556:secondary / Q000601:surgery; D010182:Pancreatic Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D014057:Tomography, X-Ray Computed; D014385:Tuberculosis, Gastrointestinal / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology
D000995:Antitubercular Agents