Solitary pancreatic tuberculosis in immunocompetent patients mimicking pancreatic carcinoma.
In this study, two cases of biopsy-proven pancreatic tuberculosis are reported. The patients presented with fever, anorexia, fatigue, abdominal pain and weight loss. A differential diagnosis of fever of unknown origin was conducted. Computed tomography (CT) revealed a cystic mass image in the pancreatic head in one patient, and a hypodense lesion in the pancreatic head in the other. The first patient was diagnosed by a wedge biopsy specimen obtained in the exploratory laparotomy. The other patient was diagnosed by percutaneous fine-needle aspiration biopsy. Both patients were successfully treated with quadruple antituberculous therapy for 12 months. We concluded that especially in young patients who present with a mass in the pancreas, pancreatic tuberculosis should be considered among the differential diagnoses, particularly in developing countries and immunosuppressed individuals.
Demir
K
K
Division of Gastroenterohepatology; Department of Internal Medicine, Istanbul Medical Faculty, Istanbul, Turkey. kadirdr@hotmail.com
Kaymakoglu
S
S
Besisik
F
F
Durakoglu
Z
Z
Ozdil
S
S
Kaplan
Y
Y
Boztas
G
G
Cakaloglu
Y
Y
Okten
A
A
D000328:Adult; D001706:Biopsy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010179:Pancreas / Q000000981:diagnostic imaging / Q000473:pathology; D010182:Pancreatic Diseases / Q000000981:diagnostic imaging* / Q000473:pathology; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D014057:Tomography, X-Ray Computed; D014385:Tuberculosis, Gastrointestinal / Q000000981:diagnostic imaging* / Q000473:pathology