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Case Reports: Rare disease
Isolated pancreatic tuberculosis masquerading pancreatic malignancy
  1. Oseen Hajilal Shaikh,
  2. Julia Sunil,
  3. Sagar Prakash,
  4. Chellappa Vijaykumar and
  5. Uday Shamrao Kumbhar
  1. Surgery, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, Pondicherry, India
  1. Correspondence to Professor Uday Shamrao Kumbhar; k26uday74{at}yahoo.co.in

Abstract

Pancreatic tuberculosis is the rarest form of abdominal and extrapulmonary tuberculosis. We present a patient in his 40s who presented with pain abdomen and a fever. On examination, the patient had mild jaundice and right hypochondriac tenderness. Blood investigation was suggestive of obstructive jaundice. Imaging studies were representative of pancreatic head lesion, causing mild intrahepatic biliary radical dilatation. Endoscopic ultrasound-guided fine-needle aspiration done from the pancreatic head lesion was diagnostic of tuberculosis. The patient was started on antitubercular medications and responded well.

  • Gastroenterology
  • Endoscopy
  • Pancreas and biliary tract

https://doi.org/10.1136/bcr-2022-254250

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    Footnotes

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: OHS, JS, SP and CV. The following authors gave final approval of the manuscript: USK.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.