title: Pancreatic tuberculosis with a pancreaticobiliary fistula.
abstract: Pancreatic tuberculosis (TB) is a rare condition that is sometimes difficult to differentiate from pancreatic cancer or other malignancies. A 75-year-old man was admitted to our hospital because of weight loss, fever, and diarrhea. Abdominal ultrasonography and computed tomography (CT) revealed a 3-cm mass in the pancreas head with abdominal lymphadenopathy. Endoscopic retrograde cholangiopancreatography did not show pancreatic duct stenosis or dilatation, but a pancreaticobiliary fistula was demonstrated. Cytological and bacteriological examinations of the pancreatic juice and bile were negative. Endoscopic ultrasonography-guided fine needle aspiration of the mass was not diagnostic. Colonoscopic features and biopsy specimens affirmed the diagnosis of TB, and treatment with antitubercular drugs was started. The pancreatic mass disappeared within 8 weeks and the pancreaticobiliary fistula resolved.
authors: Department of Gastroenterology, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. ynakai-tky@umin.ac.jp
authors: Yousuke
authors: Y
authors: Nakai
authors: Takeshi
authors: T
authors: Tsujino
authors: Takao
authors: T
authors: Kawabe
authors: Hirofumi
authors: H
authors: Kogure
authors: Takashi
authors: T
authors: Sasaki
authors: Natsuyo
authors: N
authors: Yamamoto
authors: Naoki
authors: N
authors: Sasahira
authors: Hiroyuki
authors: H
authors: Isayama
authors: Minoru
authors: M
authors: Tada
authors: Masao
authors: M
authors: Omata
mesh_terms: D000368:Aged; D000995:Antitubercular Agents / Q000627:therapeutic use; D001658:Biliary Fistula / Q000209:etiology*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003108:Colonic Diseases / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D003113:Colonoscopy; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D010182:Pancreatic Diseases / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D010185:Pancreatic Fistula / Q000209:etiology*; D010190:Pancreatic Neoplasms / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014376:Tuberculosis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D014385:Tuberculosis, Gastrointestinal / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D000995:Antitubercular Agents