Isolated pancreatic and peripancreatic nodal tuberculosis: A single-centre experience.

Abstract:

:Isolated pancreatic and peripancreatic nodal tuberculosis may mimic pancreatic malignancy and may result in unnecessary surgery. Being a treatable disease, it is desirable to diagnose this condition without a laparotomy. Pancreatic tuberculosis should be considered in the differential diagnosis of a peripancreatic mass if the patient is young, residing in endemic tuberculosis regions, or has had a history of tuberculosis. We report our experience with pancreatic tuberculosis. Over a period of 12 years, we have managed 16 such patients, of whom 10 were diagnosed preoperatively. In six, the diagnosis was only made after extensive surgery. All 16 patients received antitubercular drugs and were well at a median follow-up of 52 months. Although pancreatic tuberculosis can be diagnosed by modern image-guided biopsy in a fair number of patients, if a high index of suspicion is maintained, a laparotomy may still be unavoidable in a subset of patients.

journal_name

Trop Doct

journal_title

Tropical doctor

authors

Ray S,Das K,Ghosh R

doi

10.1177/0049475520962941

subject

Has Abstract

pub_date

2020-10-26 00:00:00

pages

49475520962941

eissn

0049-4755

issn

1758-1133

pub_type

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