Volume 26, Issue 128, October 2022

Isolated pancreatic tuberculosis mimicking pancreatic cancer: Case report

Anas Mohammed Aljoaid^1♦, Imran Ali Khan², Wael Ahmed Shahin³, Nawal Abdulrahman Barnawi⁴

¹Internal medicine resident, Alnoor specialist hospital, Makkah, Saudi Arabia
²Registrar Gastroenterology and hepatology, Alnoor specialist hospital, Makkah, Saudi Arabia
³Professor of Gastroenterology, Hepatology and Infectious Disease, Faculty of medicine, Benha University, Egypt; Consultant Gastroenterology, Al Noor Specialist hospital, Makkah, Saudi Arabia
⁴Senior Registrar in Diagnostic Radiology, AlNoor specialist Hospital, Makkah, Saudi Arabia

^♦Corresponding author
Internal medicine resident, Alnoor specialist hospital, Makkah, Saudi Arabia

ABSTRACT

Pancreatic tuberculosis is usually investigated as a mass or inflammation due to the lack of unique clinical or radiological characteristics; as a result, this rare extrapulmonary tuberculosis is usually diagnosed as pancreatic carcinoma. We present a 39-year-old female with pancreatic TB presenting as pancreatic carcinoma. The patient presented with abdominal pain in epigastric and right upper quadrant area for seven days with a previous contact of tuberculosis patient. She was jaundiced and tenderness on abdomen. Abdominal ultrasound revealed dilated common bile duct and computed tomography, and magnetic resonance cholangiopancreatography showed ill-defined mass at the medial aspect of the common bile duct involving pancreatic head. Endoscopic retrograde cholangiopancreatography also showed ill-defined lobulated lesion on pancreatic head. Biopsies revealed granulomatous inflammation and foci caseous necrosis confirming pancreatic tuberculosis. Patient was initiated on anti-TB treatment. Reporting rare cases help improve physician’s abilities in identifying such specific illness which share common presentation clinically and radiographically.

Keywords: Radiological, Pancreatic cancer, Histopathology, Mass

Medical Science, 2022, 26, ms420e2472

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DOI: https://doi.org/10.54905/disssi/v26i128/ms420e2472

Published: 21 October 2022