[Pancreatic tuberculosis. Report of two cases].
We report two cases of pancreatic tuberculosis. The first patient had abdominal pain, jaundice and weight loss. Ultrasonography and CT scan suggested a pancreatic tumor. The second patient presented with abdominal pain without jaundice while CT scan showed a pancreatic mass. Diagnosis of pancreatic tuberculosis was made at laparotomy in the two cases. The two patients underwent hepatico-jejunostomy. The first one received antituberculous chemotherapy and completely recovered while the second died because of post-operative shock related to sepsis. Tuberculosis must be suspected in the presence of a pancreatic mass in endemic countries or in immunocompromised patients. Needle biopsy may in some cases lead to diagnosis and avoid laparotomy.
El Mansari
Omar
O
Service de Chirurgie Viscérale et Vasculaire, Hôpital Militaire Mohammed V, Rabat, Maroc. elmansari_o@hotmail.com
Tajdine
Mohammed T
MT
Mikou
Ilias
I
Janati
Mohammed I
MI
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D000368:Aged; D000995:Antitubercular Agents / Q000627:therapeutic use; D001707:Biopsy, Needle; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007565:Jaundice / Q000209:etiology; D008297:Male; D010182:Pancreatic Diseases / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D010193:Pancreaticojejunostomy; D012307:Risk Factors; D012772:Shock, Septic / Q000382:microbiology; D014057:Tomography, X-Ray Computed; D014385:Tuberculosis, Gastrointestinal / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D015431:Weight Loss
D000995:Antitubercular Agents