Isolated pancreatic tuberculosis presenting as obstructive jaundice


  • Muhammad Salman Shafique Surgical Unit-II, Benazir Bhutto Hospital, Rawalpindi, Pakistan
  • Sayyam Fatima Surgical Unit-I, Holy Family Hospital, Rawalpindi, Pakistan



Extrahepatic biliary obstruction, Pancreatic tuberculosis, Anti-tuberculosis treatment, Endoscopic ultrasound


A 36-year-old male patient presented in surgical clinic with complaints of abdominal pain and progressively increasing yellowish discoloration of his skin and sclera for last 1 month. He was deeply jaundiced with mild tenderness in epigastric region. He had a strong family history of tuberculosis. Diagnostic work-up revealed obstructive jaundice secondary to pancreatic tuberculosis. Tomographic examination revealed a pancreatic head mass with peripancreatic lymphadenopathy. Endoscopic ultrasound (EUS) showed a mass at pancreatic head region & EUS guided fine needle aspiration revealed tuberculosis. Patient was started on anti-tubercular therapy with gradual improvement of symptoms over the course of treatment.


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