Obstructive jaundice due to isolated tuberculosis of the pancreas: endoscopic treatment instead of surgery?
The optimal treatment for relieving biliary obstruction due to isolated pancreatic tuberculosis has not so far been defined, and most previously reported patients were treated surgically. We describe a 17-year-old, immunocompetent girl who was admitted with obstructive jaundice caused by a tuberculous mass in the head of the pancreas. Antituberculous therapy alone failed to alleviate the jaundice, and she was therefore treated by stent insertion and, subsequently, balloon dilation of the common bile duct stricture. At follow-up 5 years later, magnetic resonance cholangiopancreatography showed no evidence of stricture in the common bile duct.
Rolny
P
P
Department of Medicine, Division of Gastroenterology and Hepatology, Surgery and Respiratory Diseases, Sahlgrenska University Hospital/Ostra and Sahlgrenska, Göteborg, Sweden. peter.rolny@vgregion.se
Falk
A
A
Olofsson
J
J
D000293:Adolescent; D000995:Antitubercular Agents / Q000627:therapeutic use; D002404:Catheterization; D002760:Cholangiopancreatography, Endoscopic Retrograde; D049448:Cholangiopancreatography, Magnetic Resonance; D003135:Common Bile Duct / Q000473:pathology; D003251:Constriction, Pathologic; D005260:Female; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology* / Q000628:therapy*; D010182:Pancreatic Diseases / Q000150:complications* / Q000382:microbiology; D015607:Stents; D014376:Tuberculosis / Q000150:complications*
D000995:Antitubercular Agents