title: Peripancreatic tuberculous lymphadenopathy. An impostor posing diagnostic difficulty.
abstract: BACKGROUND
  Involvement of the peripancreatic lymph nodes by tuberculosis is rare and the clinical presentation varies. It can mimic cystic neoplasms of the pancreas.
  
  
  METHODS
  We report the case of a patient having peripancreatic tuberculosis who presented with fever, jaundice, supraclavicular lymphadenopathy and weight loss. Imaging and tumor markers also suggested a pancreatic malignancy. MRI helped to identify the peripancreatic lymph node involvement and biopsy of the supraclavicular lymph node clinched the diagnosis.
  
  
  CONCLUSIONS
  Pancreatic and peripancreatic tuberculosis should be considered in the differential diagnosis of cystic lesions of the head of the pancreas.
authors.affiliation: Department of Gastroenterology, Stanley Medical College, Chennai, India. drjijovc@yahoo.co.in
authors.forename: Jijo Velliyappillil
authors.initials: JV
authors.lastname: Cherian
authors.forename: Aravindh
authors.initials: A
authors.lastname: Somasundaram
authors.forename: Rajesh Prabhu
authors.initials: RP
authors.lastname: Ponnusamy
authors.forename: Jayanthi
authors.initials: J
authors.lastname: Venkataraman
mesh_terms: D000328:Adult; D001707:Biopsy, Needle; D019160:Endosonography; D005260:Female; D006801:Humans; D010182:Pancreatic Diseases / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed; D014388:Tuberculosis, Lymph Node / Q000175:diagnosis*