Case Report
Isolated pancreatic tuberculosis mimicking as carcinoma: a case report and review of the literature
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* Corresponding author: Sudeep Khaniya khaniya_bpkihs@yahoo.com
1 Department of Surgery, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
2 Department of Pathology, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
Cases Journal 2010, 3:18 doi:10.1186/1757-1626-3-18
Published: 12 January 2010Abstract
Introduction
Pancreatic tuberculosis is a rare disease even in endemic countries for tuberculosis. Here, we report a case of pancreatic tuberculosis from tuberculosis endemic zone presenting as obstructive jaundice mimicking pancreatic cancer.
Case presentation
A 41-year-old male presented with features of malignant obstructive jaundice. Ultrasonography and computed tomography scan showed mass in the pancreatic head and uncinate process. He underwent a pancreatoduodencetomy. Histological examination showed typical features of tuberculosis. Antitubercular drugs were started and he remains well six months after surgery.
Conclusion
Tuberculosis should be considered as a differential diagnosis to an obscure pancreatic mass in younger or middle aged patient residing in tuberculosis endemic zone.