Abdominal tuberculosis: a rare differential diagnosis of pancreatic carcinoma

Deutsche medizinische Wochenschrift
M EndersR Duchmann

Abstract

A 79-year-old local resident, presenting with abdominal pain, sweating and weight loss and suspected of having cancer of the pancreas was referred for diagnosis and treatment. Physical examination was negative except for pain on pressure over the right upper abdomen and the epigastrium. Erythrocyte sedimentation rate was increased; as were the transaminases and cholestasis parameters. Ultrasonography and computed tomography of the abdomen revealed an echo-poor mass with cystic areas in the region of the head of the pancreas, as well as extra- and intrahepatic dilatation of the biliary tract. Endoscopic retrograde cholangiopancreatography failed to demonstrate a ductal pancreatic carcinoma. Biopsies of a macroscopically peculiar-looking duodenal ulcer demonstrated a noncaseous epithelioid granuloma. A fine-needle biopsy was performed for further diagnosis. Histological examination of the needle biopsy revealed a caseous granuloma and acid-fast bacteria. The tuberculin test (GTI) was strongly positive (14-15 mm), indicating tuberculosis of the pancreas and duodenum. Multiple tuberculostatics rapidly improved the patient's symptoms, and the further course was without complications. Tuberculosis should be included in the differenti...Continue Reading

Citations

Jun 20, 2013·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·Z HircheS Willis

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antitubercular Agents (ASM)

Antitubercular agents are pharmacologic agents for treatment of tuberculosis. Discover the latest research on antitubercular agents here.

Antitubercular Agents

Antitubercular agents are pharmacologic agents for treatment of tuberculosis. Discover the latest research on antitubercular agents here.

Related Papers

Revista Do Instituto De Medicina Tropical De São Paulo
A E PinillaL C Orozco
Deutsche medizinische Wochenschrift
F HermannM Schneemann
Annals of Hepatology
Nahum Méndez-SánchezMisael Uribe
Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
Wipa ReechaipichitkulEakkapol Utchariyaprasit
© 2021 Meta ULC. All rights reserved