Pancreatic tuberculosis

被引:44
作者
Sharma, Vishal [1 ]
Rana, Surinder S. [1 ]
Kumar, Amit [1 ]
Bhasin, Deepak K. [1 ]
机构
[1] Postgrad Inst Med Educ & Res, Dept Gastroenterol, 1041,Sect 24-B, Chandigarh 160023, India
关键词
computed tomography; endosonography; jaundice; stent; tuberculosis; EUS-GUIDED FNA; FINE-NEEDLE-ASPIRATION; ENDOSCOPIC ULTRASOUND; IMMUNOCOMPETENT PATIENTS; OBSTRUCTIVE-JAUNDICE; PARADOXICAL REACTION; DIAGNOSIS; EXPERIENCE; LYMPHADENOPATHY; MANIFESTATION;
D O I
10.1111/jgh.13174
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Pancreatic tuberculosis is very rare, but recently, there has been a spurt in the number of reports on pancreatic involvement by tuberculosis. It closely mimics pancreatic cancer, and before the advent of better imaging modalities it was often detected as a histological surprise in patients resected for a presumed pancreatic malignancy. The usual presentation involves abdominal pain, loss of appetite and weight, jaundice which can be associated with cholestasis, fever and night sweats, palpable abdominal lump, and peripheral lymphadenopathy. Computed tomography (CT) of the abdomen is an important tool for evaluation of patients with pancreatic tuberculosis. This CT imaging yields valuable information about the size and nature of tubercular lesions along with the presence of ascites and lymphadenopathy. However, there are no distinctive features on CT that distinguish it from pancreatic carcinoma. Endoscopic ultrasound provides high resolution images of the pancreatic lesions as well as an opportunity to sample these lesions for cytological confirmation. The presence of granulomas is the most common finding on histological/cytological examination with the presence of acid fast bacilli being observed only in minority of patients. As there are no randomized or comparative studies on treatment of pancreatic tuberculosis it is usually treated like other forms of tuberculosis. Excellent cure rates are reported with standard anti tubercular therapy given for 6-12months.
引用
收藏
页码:310 / 318
页数:9
相关论文
共 63 条
  • [21] A Case of Obstructive Jaundice Caused by Paradoxical Reaction during Antituberculous Chemotherapy for Abdominal Tuberculosis
    Lee, Yun Jung
    Jung, Sung Hee
    Hyun, Woo Jin
    Kim, Sae Hee
    Lee, Hyang Ie
    Yang, Hyeon Woong
    Kim, Anna
    Cha, Sang Woo
    [J]. GUT AND LIVER, 2009, 3 (04) : 338 - 342
  • [22] Isolated Periportal Tuberculosis Causing Portal Vein Thrombosis
    Liew, Elaine
    Sutherland, Tom
    Slavin, John
    Darby, Jonathan
    [J]. JOURNAL OF ULTRASOUND IN MEDICINE, 2011, 30 (11) : 1599 - 1601
  • [23] Esophageal variceal bleeding in a patient with tuberculosis
    Lin, Chih-Feng
    Hsu, Rich Yi-Chen
    Hsieh, Tsai-Yuan
    Chu, Heng-Cheng
    [J]. LIVER INTERNATIONAL, 2009, 29 (07) : 1043 - 1043
  • [24] Granulomatous Pancreatitis in a Patient with Acute Manifested Insulin-Dependent Diabetes Mellitus
    Mandys, Vaclav
    Kheck, Michal
    Andel, Michal
    [J]. CASE REPORTS IN PATHOLOGY, 2014, 2014
  • [25] Pancreatic tuberculosis with acquired immunodeficiency syndrome: A case report and systematic review
    Meesiri, Somchai
    [J]. WORLD JOURNAL OF GASTROENTEROLOGY, 2012, 18 (07) : 720 - 726
  • [26] Lower frequency of peritoneal carcinomatosis in patients with pancreatic cancer diagnosed by EUS-guided FNA vs. percutaneous FNA
    Micames, C
    Jowell, PS
    White, R
    Paulson, E
    Nelson, R
    Morse, M
    Hurwitz, H
    Pappas, T
    Tyler, D
    McGrath, K
    [J]. GASTROINTESTINAL ENDOSCOPY, 2003, 58 (05) : 690 - 695
  • [27] Pancreatic Tuberculosis: A Clinical and Imaging Review of 32 Cases
    Nagar, Arpit M.
    Raut, Abhijit A.
    Morani, Ajaykumar C.
    Sanghvi, Darshana A.
    Desai, Chirag S.
    Thapar, Vinay B.
    [J]. JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 2009, 33 (01) : 136 - 141
  • [28] Naisbitt CJ, 2013, BMJ CASE REP, V2013
  • [29] Pancreatic tuberculosis with a pancreaticobiliary fistula
    Nakai, Yousuke
    Tsujino, Takeshi
    Kawabe, Takao
    Kogure, Hirofumi
    Sasaki, Takashi
    Yamamoto, Natsuyo
    Sasahira, Naoki
    Isayama, Hiroyuki
    Tada, Minoru
    Omata, Masao
    [J]. DIGESTIVE DISEASES AND SCIENCES, 2007, 52 (05) : 1225 - 1228
  • [30] PANCREATIC TUBERCULOSIS FOLLOWING RENAL-TRANSPLANTATION
    ODONOGHUE, DJ
    SHORT, CD
    GOKAL, R
    JOHNSON, RWG
    [J]. NEPHRON, 1992, 60 (03): : 367 - 367