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- Title
Pancreatic Tuberculosis with a Pancreaticobiliary Fistula.
- Authors
Yousuke Nakai; Takeshi Tsujino; Takao Kawabe; Hirofumi Kogure; Takashi Sasaki; Natsuyo Yamamoto; Naoki Sasahira; Hiroyuki Isayama; Minoru Tada
- Abstract
Abstract Pancreatic tuberculosis (TB) is a rare condition that is sometimes difficult to differentiate from pancreatic cancer or other malignancies. A 75-year-old man was admitted to our hospital because of weight loss, fever, and diarrhea. Abdominal ultrasonography and computed tomography (CT) revealed a 3-cm mass in the pancreas head with abdominal lymphadenopathy. Endoscopic retrograde cholangiopancreatography did not show pancreatic duct stenosis or dilatation, but a pancreaticobiliary fistula was demonstrated. Cytological and bacteriological examinations of the pancreatic juice and bile were negative. Endoscopic ultrasonography-guided fine needle aspiration of the mass was not diagnostic. Colonoscopic features and biopsy specimens affirmed the diagnosis of TB, and treatment with antitubercular drugs was started. The pancreatic mass disappeared within 8 weeks and the pancreaticobiliary fistula resolved.
- Subjects
TUBERCULOSIS; PANCREATIC cancer; TOMOGRAPHY; ENDOSCOPIC retrograde cholangiopancreatography
- Publication
Digestive Diseases & Sciences, 2007, Vol 52, Issue 5, p1225
- ISSN
0163-2116
- Publication type
Article
- DOI
10.1007/s10620-006-9471-z