A peripancreatic tuberculous lymphadenitis misdiagnosed as pancreatic tumor : a case report

Abstract EN

This is a report of a 75-year-old female patient, non-smoker, diabetic, hypertensive, and known case of sero- positive rheumatoid arthritis who has a one year history of progressive weight loss, anorexia and recurrent mild central abdominal pain; in the last three weeks her abdominal pain became severe, radiating to the back and associated with nausea, vomiting and spiky fever.

A physical examination, laboratory, radiological investigations including abdomen ultrasound, abdomen Computerized Tomography.

Scan was performed, laparotomy was done and specimens taken from the peripancreatic lymph nodes.

Histopathological study of three peripancreatic lymph nodes revealed tuberculous lymphadenitis that was mistaken by abdomen ultrasound and computerized tomography scan as a tumor of the neck of the pancreas.