Pancreatic Tuberculosis or Autoimmune Pancreatitis
Joint Authors
Saif, Muhammad Wasif
Salahuddin, Ayesha
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-04-15
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Introduction.
Isolated pancreatic and peripancreatic tuberculosis is a challenging diagnosis due to its rarity and variable presentation.
Pancreatic tuberculosis can mimic pancreatic carcinoma.
Similarly, autoimmune pancreatitis can appear as a focal lesion resembling pancreatic malignancy.
Endoscopic ultrasound-guided fine needle aspiration provides an effective tool for differentiating between benign and malignant pancreatic lesions.
The immune processes involved in immunoglobulin G4 related systemic diseases and tuberculosis appear to have some similarities.
Case Report.
We report a case of a 59-year-old Southeast Asian male who presented with fever, weight loss, and obstructive jaundice.
CT scan revealed pancreatic mass and enlarged peripancreatic lymph nodes.
Endoscopic ultrasound-guided fine needle aspiration confirmed the presence of mycobacterium tuberculosis.
Patient also had high immunoglobulin G4 levels suggestive of autoimmune pancreatitis.
He was started on antituberculosis medications and steroids.
Clinically, he responded to treatment.
Follow-up imaging showed findings suggestive of chronic pancreatitis.
Discussion.
Pancreatic tuberculosis and autoimmune pancreatitis can mimic pancreatic malignancy.
Accurate diagnosis is imperative as unnecessary surgical intervention can be avoided.
Endoscopic ultrasound-guided fine needle aspiration seems to be the diagnostic test of choice for pancreatic masses.
Long-term follow-up is warranted in cases of chronic pancreatitis.
American Psychological Association (APA)
Salahuddin, Ayesha& Saif, Muhammad Wasif. 2014. Pancreatic Tuberculosis or Autoimmune Pancreatitis. Case Reports in Medicine،Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-469929
Modern Language Association (MLA)
Salahuddin, Ayesha& Saif, Muhammad Wasif. Pancreatic Tuberculosis or Autoimmune Pancreatitis. Case Reports in Medicine No. 2014 (2014), pp.1-5.
https://search.emarefa.net/detail/BIM-469929
American Medical Association (AMA)
Salahuddin, Ayesha& Saif, Muhammad Wasif. Pancreatic Tuberculosis or Autoimmune Pancreatitis. Case Reports in Medicine. 2014. Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-469929
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-469929