Biliary strictures secondary to tuberculosis and early ampullary carcinoma.
Obstructive jaundice is common and in most cases due to stone diseases or malignancies. Malignancies are important causes and are often unresectable at the time of diagnosis. Similarly, it is also important to consider infective causes such as tuberculosis (TB), particularly in endemic areas or in patients with risk factors. Although rare, the possibilities for the coexistence of different pathologies need to be considered as the treatment required will be different. We report a 67-year-old man with unexpected findings of obstructive jaundice secondary to biliary TB and an early ampullary tumour.
Department of Medicine, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan, BA 1710, Brunei Darussalam. chongvuih@yahoo.co.uk
V H
VH
Chong
P U
PU
Telisinghe
S K S
SK
Yapp
A
A
Jalihal
D000368:Aged; D014670:Ampulla of Vater / Q000473:pathology; D001652:Bile Ducts / Q000473:pathology*; D001662:Biliary Tract Surgical Procedures; D002779:Cholestasis / Q000209:etiology* / Q000503:physiopathology; D003251:Constriction, Pathologic / Q000473:pathology; D006801:Humans; D008297:Male; D012307:Risk Factors; D014385:Tuberculosis, Gastrointestinal / Q000150:complications* / Q000503:physiopathology