Isolated pancreatic tuberculosis presenting as obstructive jaundice
DOI:
https://doi.org/10.18203/2349-2902.isj20211314Keywords:
Extrahepatic biliary obstruction, Pancreatic tuberculosis, Anti-tuberculosis treatment, Endoscopic ultrasoundAbstract
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.
Metrics
References
Najdi NA, Felemban BA, Issa AH. Pancreatic tuberculosis causing biliary obstruction and mimicking pancreatic malignancy. J Health Spec.2018;6(1):39-44.
Shahrokh S, Miri MB, Safari MT, Alizadeh AHM. Pancreatic Tuberculosis: An Overview. JOP. J Pancreas. 2015;16(3):232-8.
Kaushik N, Schoedel K, McGrath K. Isolated pancreatic tuberculosis diagnosed by endoscopic ultrasound-guided fine needle aspiration: a case report. JOP. 2006;7(2):205-10.
Akram F, Ahmed M, Nisar G. Pancreatic Tuberculosis---A Rare cause of Obstructive Jaundice, Diagnostic Dilemma Resolved through Endoscopic Ultrasound. JRMC Students Supplement. 2015;19(S-1):59-60.
Zheng ZJ, Zhang H, Xiang GM, Gong J, Mai G, Liu XB. Coexistence of pancreatic carcinoma and pancreatic tuberculosis: case report. Gut Liver. 2011;5(4):536-8.
Global tuberculosis report 2019. Geneva: World Health Organization; 2019 (WHO/CDS/TB/2019.15). Licence: CC BY-NC-SA 3.0 IGO. https://apps.who.int/iris/bitstream/handle/10665/329368/9789241565714-eng.pdf. Last accessed on 30th August, 2020.
Rapid Communication on forthcoming changes to the programmatic management of tuberculosis preventive treatment. Geneva: World Health Organization; 2020 (WHO/UCN/TB/2020.4). Licence: CC BY-NC-SA 3.0 IGO. https://www.who.int/tb/publications/2020/WHORapidCommunication_TPT2020.pdf?ua=1. Last accessed on 30th August, 2020.
Waheed M. WHO EMRO, Tuberculosis, Programmes, Pakistan. Emro.who.int. 2020. http://www.emro.who.int/pak/programmes/stoptuberculosis.html#:~:text=Pakistan%2C%20with%20an%20estimated%20510,the%20WHO%20Eastern%20Mediterranean%20Region. Last accessed on 30th August, 2020.
Zhu M, Zhang N, Tao W, Wang Z, He S. Pancreatic tuberculosis with vascular involvement and peritoneal dissemination in a young man. Case Rep Med. 2017;2017:4396759.
Yamada R, Inoue H, Yoshizawa N, Kitade T, Tano S, Sakuno T, et al. Peripancreatic tuberculous lymphadenitis with biliary obstruction diagnosed by endoscopic ultrasound-guided fine-needle aspiration biopsy. Intern Med. 2016;55(8):919-23.
Waintraub DJ, D'Souza LS, Madrigal E, Harshan M, Ascunce GI. A Rare Case of Isolated Pancreatic Tuberculosis. ACG Case Rep J. 2016;3(4):e91.
Falkowski AL, Graber J, Haack HG, Tarr PE, Rasch H. Isolated pancreatic tuberculosis: A case report and radiological comparison with cystic pancreatic lesions. J Radiol Case Rep. 2013;7(1):1-11.
Xia F, Poon RT, Wang SG, Bie P, Huang XQ, Dong JH. Tuberculosis of pancreas and peripancreatic lymph nodes in immunocompetent patients: experience from China. World J Gastroenterol. 2003;9(6):1361-4.
Kim JB, Lee SS, Kim SH, Byun JH, Park DH, Lee TY, et al. Peripancreatic tuberculous lymphadenopathy masquerading as pancreatic malignancy: a single-center experience. J Gastroenterol Hepatol. 2014;29(2):409-16.
Sharma V, Rana SS, Kumar A, Bhasin DK. Pancreatic tuberculosis. J Gastroenterol Hepatol. 2016;31(2):310-8.
Dong Y, Jürgensen C, Puri R, D'Onofrio M, Hocke M, Wang WP, et al. Ultrasound imaging features of isolated pancreatic tuberculosis. Endosc Ultrasound. 2018;7(2):119-27.
Raghavan P, Rajan D. Isolated pancreatic tuberculosis mimicking malignancy in an immunocompetent host. Case Rep Med. 2012;2012:501246.
Song TJ, Lee SS, Park DH, Lee TY, Lee SO, Seo DW, et al. Yield of EUS-guided FNA on the diagnosis of pancreatic/peripancreatic tuberculosis. Gastrointest Endosc. 2009;69(3 Pt 1): 484-91.
Pramesh CS, Heroor AA, Gupta SG, Krishnamurthy S, Shukla PJ, Jagannath P et al. Pancreatic Tuberculosis: an elusive diagnosis. HPB (Oxford). 2003;5(1):43-5.
Hoilat GJ, Abdu M, Hoilat J, Gitto L, Bhutta AQ. A Rare Case of Pancreatic Tuberculosis Diagnosed via Endoscopic Ultrasound-Guided Fine Needle Aspiration and Polymerase Chain Reaction. Cureus. 2020;12(6):e8795.
Downloads
Published
How to Cite
Issue
Section
