title: Abdominal tuberculosis with pancreatic involvement: a case report.
abstract: A case of abdominal tuberculosis with pancreatic involvement is described. A 27-year-old Italian male, with no known cause of immunodeficiency and with no evidence of pulmonary tuberculosis, was admitted to our division because of acute pancreatitis. Abdominal imaging revealed a large 'tumour-like' mass in the pancreas head compressing the distal choledochous, and multiple adenopathy. Histological examination of multiple specimens removed during explorative laparotomy revealed granulomas with giant cells, caseous necrosis, and positive Ziehl-Neelsen staining. Tissue culture was positive for Mycobacterium tuberculosis. Once specific medical treatment was started, the pancreatic damage completely resolved.
authors.affiliation: Digestive and Liver Disease Unit, II School of Medicine, Sant'Andrea Hospital, University La Sapienza, Rome, Italy. f.panzuto@inwind.it
authors.forename: F
authors.initials: F
authors.lastname: Panzuto
authors.forename: A
authors.initials: A
authors.lastname: D'Amato
authors.forename: A
authors.initials: A
authors.lastname: Laghi
authors.forename: G
authors.initials: G
authors.lastname: Cadau
authors.forename: G
authors.initials: G
authors.lastname: D'Ambra
authors.forename: D
authors.initials: D
authors.lastname: Aguzzi
authors.forename: R
authors.initials: R
authors.lastname: Iannaccone
authors.forename: C
authors.initials: C
authors.lastname: Montesani
authors.forename: R
authors.initials: R
authors.lastname: Caprilli
authors.forename: G
authors.initials: G
authors.lastname: Delle Fave
mesh_terms: D000328:Adult; D000904:Antibiotics, Antitubercular / Q000627:therapeutic use; D000995:Antitubercular Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification*; D010182:Pancreatic Diseases / Q000188:drug therapy / Q000382:microbiology*; D014376:Tuberculosis / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D000904:Antibiotics, Antitubercular; D000995:Antitubercular Agents