Isolated Pancreatic Tuberculosis: Report of Two Cases
Published: 2022-12-14
Page: 112-115
Issue: 2022 - Volume 5 [Issue 1]
Choukri El-Mehdi
Digestive Cancer Surgery and Liver Transplantation Department, University Hospital Center Ibn Rochd, Casablanca, Morocco.
Boufettal Rachid
Digestive Cancer Surgery and Liver Transplantation Department, University Hospital Center Ibn Rochd, Casablanca, Morocco.
Hajri Amal
Digestive Cancer Surgery and Liver Transplantation Department, University Hospital Center Ibn Rochd, Casablanca, Morocco.
Erreguibi Driss
Digestive Cancer Surgery and Liver Transplantation Department, University Hospital Center Ibn Rochd, Casablanca, Morocco.
Rifki Jai Saad
Digestive Cancer Surgery and Liver Transplantation Department, University Hospital Center Ibn Rochd, Casablanca, Morocco.
Chehab Farid
Digestive Cancer Surgery and Liver Transplantation Department, University Hospital Center Ibn Rochd, Casablanca, Morocco.
Nacer Sara *
Hepato-Gastroenterology Department, University Hospital Center Ibn Rochd, Casablanca, Morocco.
Haddad Fouad
Hepato-Gastroenterology Department, University Hospital Center Ibn Rochd, Casablanca, Morocco.
El Rhaoussi Fatima-Zahra
Hepato-Gastroenterology Department, University Hospital Center Ibn Rochd, Casablanca, Morocco.
Tahiri Mohamed
Hepato-Gastroenterology Department, University Hospital Center Ibn Rochd, Casablanca, Morocco.
Hliwa Wafaa
Hepato-Gastroenterology Department, University Hospital Center Ibn Rochd, Casablanca, Morocco.
Bellabah Ahmed
Hepato-Gastroenterology Department, University Hospital Center Ibn Rochd, Casablanca, Morocco.
Badre Wafaa
Hepato-Gastroenterology Department, University Hospital Center Ibn Rochd, Casablanca, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Isolated pancreatic tuberculosis (PT) remains a rare entity even in countries where the disease is highly prevalent. It frequently presents as a mass mimicking a pancreatic malignancy. Therefore, it represents a diagnostic challenge. We report a case of a 27 years old woman who was admitted to surgery department after 3 weeks of epigastric abdominal pain and jaundice. The radiological findings revealed the presence of a pancreatic mass and multiple abdominal lymphadenopathy, suggestive of malignancy. Exploratory laparotomy with biopsy of peripancreatic lymph node confirmed the diagnosis of pancreatic tuberculosis.
The second patient presented with heterogeneous necrotic mass in the pancreatic body. Computed tomography (CT)-guided biopsy made the diagnosis of pancreatic tuberculosis.
The two patients were given antituberculous therapy and are now doing well.
The diagnosis of PT should be considered when a pancreatic mass is observed to avoid misdiagnosis and establish early treatment.
Keywords: Pancreas, tuberculosis, antituberculous therapy