Pancreatic tuberculosis mimicking pancreatic cancer in immunocompetent patients: Case series and diagnostic pathways

We retrospectively reviewed the clinical presentations, diagnostic evaluations, imaging findings, and treatment outcomes of 3 patients diagnosed with pancreatic tuberculosis. All 3 patients presented with nonspecific symptoms such as epigastric pain and weight loss. Imaging showed pancreatic masses...

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Main Authors: Fakhrddine Amri, Kaoutar Chahi, Amal Mojahid, Abdelkrim Zazour, Hajar Koulali, Ouiam EL Mqaddem, Imane Skiker, Zahi Ismaili, Ghizlane Kharrasse
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043325002249
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author Fakhrddine Amri
Kaoutar Chahi
Amal Mojahid
Abdelkrim Zazour
Hajar Koulali
Ouiam EL Mqaddem
Imane Skiker
Zahi Ismaili
Ghizlane Kharrasse
author_facet Fakhrddine Amri
Kaoutar Chahi
Amal Mojahid
Abdelkrim Zazour
Hajar Koulali
Ouiam EL Mqaddem
Imane Skiker
Zahi Ismaili
Ghizlane Kharrasse
author_sort Fakhrddine Amri
collection DOAJ
description We retrospectively reviewed the clinical presentations, diagnostic evaluations, imaging findings, and treatment outcomes of 3 patients diagnosed with pancreatic tuberculosis. All 3 patients presented with nonspecific symptoms such as epigastric pain and weight loss. Imaging showed pancreatic masses suggestive of pancreatic cancer. EUS with FNA and subsequent histopathology confirmed tuberculosis through the presence of granulomas with caseous necrosis. All patients received anti-tuberculosis therapy, leading to favorable outcomes, including pain resolution and normalization of follow-up imaging.
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institution OA Journals
issn 1930-0433
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publishDate 2025-06-01
publisher Elsevier
record_format Article
series Radiology Case Reports
spelling doaj-art-0bbcd2417e3644c6afb0bb3dbdaba4c42025-08-20T02:12:09ZengElsevierRadiology Case Reports1930-04332025-06-012063051305810.1016/j.radcr.2025.03.015Pancreatic tuberculosis mimicking pancreatic cancer in immunocompetent patients: Case series and diagnostic pathwaysFakhrddine Amri0Kaoutar Chahi1Amal Mojahid2Abdelkrim Zazour3Hajar Koulali4Ouiam EL Mqaddem5Imane Skiker6Zahi Ismaili7Ghizlane Kharrasse8Department of Hepato-Gastroenterology, Mohammed VI University Hospital, Oujda, Morocco; Digestive Diseases Research Laboratory (DSRL), Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, Morocco; Corresponding author.Department of Hepato-Gastroenterology, Mohammed VI University Hospital, Oujda, Morocco; Digestive Diseases Research Laboratory (DSRL), Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, MoroccoDepartment of Radiology, Mohammed VI University Hospital, Oujda, MoroccoDepartment of Hepato-Gastroenterology, Mohammed VI University Hospital, Oujda, Morocco; Digestive Diseases Research Laboratory (DSRL), Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, MoroccoDepartment of Hepato-Gastroenterology, Mohammed VI University Hospital, Oujda, Morocco; Digestive Diseases Research Laboratory (DSRL), Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, MoroccoDepartment of Hepato-Gastroenterology, Mohammed VI University Hospital, Oujda, Morocco; Digestive Diseases Research Laboratory (DSRL), Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, MoroccoDepartment of Radiology, Mohammed VI University Hospital, Oujda, MoroccoDepartment of Hepato-Gastroenterology, Mohammed VI University Hospital, Oujda, Morocco; Digestive Diseases Research Laboratory (DSRL), Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, MoroccoDepartment of Hepato-Gastroenterology, Mohammed VI University Hospital, Oujda, Morocco; Digestive Diseases Research Laboratory (DSRL), Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, MoroccoWe retrospectively reviewed the clinical presentations, diagnostic evaluations, imaging findings, and treatment outcomes of 3 patients diagnosed with pancreatic tuberculosis. All 3 patients presented with nonspecific symptoms such as epigastric pain and weight loss. Imaging showed pancreatic masses suggestive of pancreatic cancer. EUS with FNA and subsequent histopathology confirmed tuberculosis through the presence of granulomas with caseous necrosis. All patients received anti-tuberculosis therapy, leading to favorable outcomes, including pain resolution and normalization of follow-up imaging.http://www.sciencedirect.com/science/article/pii/S1930043325002249PancreasMycobacterium tuberculosisDiagnosisImagingEndoscopic ultrasoundFine-needle aspiration
spellingShingle Fakhrddine Amri
Kaoutar Chahi
Amal Mojahid
Abdelkrim Zazour
Hajar Koulali
Ouiam EL Mqaddem
Imane Skiker
Zahi Ismaili
Ghizlane Kharrasse
Pancreatic tuberculosis mimicking pancreatic cancer in immunocompetent patients: Case series and diagnostic pathways
Radiology Case Reports
Pancreas
Mycobacterium tuberculosis
Diagnosis
Imaging
Endoscopic ultrasound
Fine-needle aspiration
title Pancreatic tuberculosis mimicking pancreatic cancer in immunocompetent patients: Case series and diagnostic pathways
title_full Pancreatic tuberculosis mimicking pancreatic cancer in immunocompetent patients: Case series and diagnostic pathways
title_fullStr Pancreatic tuberculosis mimicking pancreatic cancer in immunocompetent patients: Case series and diagnostic pathways
title_full_unstemmed Pancreatic tuberculosis mimicking pancreatic cancer in immunocompetent patients: Case series and diagnostic pathways
title_short Pancreatic tuberculosis mimicking pancreatic cancer in immunocompetent patients: Case series and diagnostic pathways
title_sort pancreatic tuberculosis mimicking pancreatic cancer in immunocompetent patients case series and diagnostic pathways
topic Pancreas
Mycobacterium tuberculosis
Diagnosis
Imaging
Endoscopic ultrasound
Fine-needle aspiration
url http://www.sciencedirect.com/science/article/pii/S1930043325002249
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