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Pancreatic tuberculosis with acquired immunodeficiency syndrome: A case report and systematic review

Author(s): Somchai Meesiri

Journal: World Journal of Gastroenterology
ISSN 1007-9327

Volume: 18;
Issue: 7;
Start page: 720;
Date: 2012;
Original page

Keywords: Pancreas | Tuberculosis | Abscess | Antituberculous drugs | Human immunodeficiency virus | Fine-needle aspiration

Pancreatic tuberculosis (TB) is a relatively rare disease that can mimic carcinoma, lymphoma, cystic neoplasia, retroperitoneal tumors, pancreatitis or pseudocysts. Here, I report the case of a 31-year-old immigrant Burmese woman who exhibited epigastralgia, fever, weight loss and an epigastric mass. The patient was diagnosed with pancreatic TB and acquired immunodeficiency syndrome, and was treated with antituberculous drugs and percutaneous catheter drainage without a laparotomy. The clinical presentation, radiographic investigation and management of pancreatic TB are summarized in this paper to emphasize the importance of considering this rare disease in the differential diagnosis of pancreatic masses concomitant with human immunodeficiency virus infection. I also emphasize the need for both histopathological and microbiological diagnosis via fine-needle aspiration.
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Tango Jona
Tangokurs Rapperswil-Jona