title: Pancreatic tuberculosis mimicking pancreatic carcinoma during anti-tuberculosis therapy: A case report.
abstract: Pancreatic tuberculosis (TB) is a rare condition, even in immunocompetent hosts. A case is presented of pancreatic TB that mimicked pancreatic head carcinoma in a 40-year-old immunocompetent male patient. The patient was admitted to our hospital after suffering for nine days from epigastralgia and obstructive jaundice. Computed tomography revealed a pancreatic mass that mimicked a pancreatic head carcinoma. The patient had undergone an operation four months prior for thoracic TB and was undergoing anti-TB therapy. A previous abdominal ultrasound was unremarkable with the exception of gallbladder steroid deposits. The patient underwent surgery due to the progressive discomfort of the upper abdomen and a mass that resembled a pancreatic malignancy. A biopsy of the pancreas and lymph nodes was performed, revealing TB infection. The patient received a cholecystostomy tube and recovered after being administered standard anti-TB therapy for 15 mo. This case is reported to emphasize the rare contribution of pancreatic TB to pancreatic masses and obstructive jaundice.
authors.affiliation: Yan-Jia Yang, Ya-Xin Li, Xiao-Qin Liu, Mei Yang, Kai Liu, Center for Infectious Disease, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
authors.forename: Yan-Jia
authors.initials: YJ
authors.lastname: Yang
authors.affiliation: Yan-Jia Yang, Ya-Xin Li, Xiao-Qin Liu, Mei Yang, Kai Liu, Center for Infectious Disease, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
authors.forename: Ya-Xin
authors.initials: YX
authors.lastname: Li
authors.affiliation: Yan-Jia Yang, Ya-Xin Li, Xiao-Qin Liu, Mei Yang, Kai Liu, Center for Infectious Disease, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
authors.forename: Xiao-Qin
authors.initials: XQ
authors.lastname: Liu
authors.affiliation: Yan-Jia Yang, Ya-Xin Li, Xiao-Qin Liu, Mei Yang, Kai Liu, Center for Infectious Disease, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
authors.forename: Mei
authors.initials: M
authors.lastname: Yang
authors.affiliation: Yan-Jia Yang, Ya-Xin Li, Xiao-Qin Liu, Mei Yang, Kai Liu, Center for Infectious Disease, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
authors.forename: Kai
authors.initials: K
authors.lastname: Liu
keywords: Anti-tuberculosis therapy; Pancreatic head carcinoma; Pancreatic mass; Pancreatic tuberculosis; Tube cholecystostomy