Pancreatic Tuberculosis: A Puzzle for Physicians. A Rare Case and Review of Literature
Pancreatic Tuberculosis is an uncommon form of extra pulmonary tuberculosis that resembles malignancy of pancreas and serve as a diagnostic challenge for physicians. Conservative management with Anti Tuberculosis Therapy (ATT) will suffice for pancreatic tuberculosis whereas a malignancy may requi...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2016-11-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/8896/22995_CE(Ra1)_F(Sh)_PF1(GU_RO)_PFA(AK)_PF2(PRO).pdf |
| _version_ | 1811283333446893568 |
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| author | Prashanth Ashok Kumar Gursharan Singh John Biku Joseph S Swaminathan L Venkatakrishnan |
| author_facet | Prashanth Ashok Kumar Gursharan Singh John Biku Joseph S Swaminathan L Venkatakrishnan |
| author_sort | Prashanth Ashok Kumar |
| collection | DOAJ |
| description | Pancreatic Tuberculosis is an uncommon form of extra pulmonary tuberculosis that resembles malignancy of pancreas and serve
as a diagnostic challenge for physicians. Conservative management with Anti Tuberculosis Therapy (ATT) will suffice for pancreatic
tuberculosis whereas a malignancy may require major surgeries which may lead to significant morbidity. Here, we discuss the case of
a female patient who presented with abdominal pain and vomiting and is a known case of chronic calcific pancreatitis. Radiological
findings were that of malignancy of the pancreas. Enteroscopy showed pus flowing out from the duodenum. Endoscopic Ultrasound
(EUS) guided Fine Needle Aspiration Cytology (FNAC) of the pancreas revealed acid fast bacilli. The patient was treated successfully
with ATT. Timely diagnosis of this rare form of extra pulmonary tuberculosis can thus help avoid unwanted resections done for presumed
malignancy, for which a high index of suspicion is needed. |
| first_indexed | 2024-04-13T02:09:35Z |
| format | Article |
| id | doaj.art-cace73d88681474bae5d3f1431c657ae |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-13T02:09:35Z |
| publishDate | 2016-11-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-cace73d88681474bae5d3f1431c657ae2022-12-22T03:07:20ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-11-011011PD29PD3110.7860/JCDR/2016/22995.8896Pancreatic Tuberculosis: A Puzzle for Physicians. A Rare Case and Review of LiteraturePrashanth Ashok Kumar0Gursharan Singh1John Biku Joseph2S Swaminathan3L Venkatakrishnan4PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India.HOD, Department of Liver Transplant Surgery, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India.Consultant, Department of Liver Transplant Surgery, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India.Consultant, Department of Liver Transplant Surgery, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India.HOD, Department of Gasteroenterology, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India.Pancreatic Tuberculosis is an uncommon form of extra pulmonary tuberculosis that resembles malignancy of pancreas and serve as a diagnostic challenge for physicians. Conservative management with Anti Tuberculosis Therapy (ATT) will suffice for pancreatic tuberculosis whereas a malignancy may require major surgeries which may lead to significant morbidity. Here, we discuss the case of a female patient who presented with abdominal pain and vomiting and is a known case of chronic calcific pancreatitis. Radiological findings were that of malignancy of the pancreas. Enteroscopy showed pus flowing out from the duodenum. Endoscopic Ultrasound (EUS) guided Fine Needle Aspiration Cytology (FNAC) of the pancreas revealed acid fast bacilli. The patient was treated successfully with ATT. Timely diagnosis of this rare form of extra pulmonary tuberculosis can thus help avoid unwanted resections done for presumed malignancy, for which a high index of suspicion is needed.https://jcdr.net/articles/PDF/8896/22995_CE(Ra1)_F(Sh)_PF1(GU_RO)_PFA(AK)_PF2(PRO).pdfanti tuberculosis therapyendoscopic ultrasoundpancreas |
| spellingShingle | Prashanth Ashok Kumar Gursharan Singh John Biku Joseph S Swaminathan L Venkatakrishnan Pancreatic Tuberculosis: A Puzzle for Physicians. A Rare Case and Review of Literature Journal of Clinical and Diagnostic Research anti tuberculosis therapy endoscopic ultrasound pancreas |
| title | Pancreatic Tuberculosis: A Puzzle for Physicians. A Rare Case and Review of Literature |
| title_full | Pancreatic Tuberculosis: A Puzzle for Physicians. A Rare Case and Review of Literature |
| title_fullStr | Pancreatic Tuberculosis: A Puzzle for Physicians. A Rare Case and Review of Literature |
| title_full_unstemmed | Pancreatic Tuberculosis: A Puzzle for Physicians. A Rare Case and Review of Literature |
| title_short | Pancreatic Tuberculosis: A Puzzle for Physicians. A Rare Case and Review of Literature |
| title_sort | pancreatic tuberculosis a puzzle for physicians a rare case and review of literature |
| topic | anti tuberculosis therapy endoscopic ultrasound pancreas |
| url | https://jcdr.net/articles/PDF/8896/22995_CE(Ra1)_F(Sh)_PF1(GU_RO)_PFA(AK)_PF2(PRO).pdf |
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