Pancreatic Tuberculosis with Vascular Involvement and Peritoneal Dissemination in a Young Man
Pancreatic tuberculosis (TB) is an extremely rare form of extrapulmonary tuberculosis even in endemic areas that masquerades as a mass or inflammation because of lack of typical clinical manifestations and radiologic features and therefore usually misdiagnosed as a pancreatic malignancy or pancreati...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/4396759 |
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| author | Meng Zhu Ning Zhang Wei Tao Zhitao Wang Shuixiang He |
| author_facet | Meng Zhu Ning Zhang Wei Tao Zhitao Wang Shuixiang He |
| author_sort | Meng Zhu |
| collection | DOAJ |
| description | Pancreatic tuberculosis (TB) is an extremely rare form of extrapulmonary tuberculosis even in endemic areas that masquerades as a mass or inflammation because of lack of typical clinical manifestations and radiologic features and therefore usually misdiagnosed as a pancreatic malignancy or pancreatitis. Here we present a 23-year-old young man with pancreatic tuberculosis mimicking pancreatic head carcinoma A man who suffered from upper abdominal pain and nausea for half a month was admitted to our hospital. Narrow band imaging (NBI) and gastroscopic imaging, together with endoscopic ultrasonography (EUS), revealed a duodenal bulb mucous prominences lesion. Computed tomography (CT) and magnetic resonance imaging (MRI) both suggested a pancreatic mass which resembled a pancreatic head tumor that had a higher risk of malignancy. The patient therefore accepted an exploratory laparotomy and pancreatoduodenectomy, Whipple operation. Biopsies of pancreas, duodenum, lymph nodes, omentum, and adipose tissues were all performed, revealing tuberculosis infection in pancreas, hepatic portal vein infiltration, and peritoneal dissemination. The patient was treated successfully after operation and recovered with standard anti-TB drugs for 6 months. Timely reporting of this rare case can help physicians improve their ability to identify several specific illnesses and diseases that share confusing signs or symptoms clinically and radiographically. |
| format | Article |
| id | doaj-art-64573f6a57c44d3097d613e3cfc8f40b |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-64573f6a57c44d3097d613e3cfc8f40b2025-08-20T03:34:24ZengWileyCase Reports in Medicine1687-96271687-96352017-01-01201710.1155/2017/43967594396759Pancreatic Tuberculosis with Vascular Involvement and Peritoneal Dissemination in a Young ManMeng Zhu0Ning Zhang1Wei Tao2Zhitao Wang3Shuixiang He4Department of Gastroenterology, Affiliated Hospital of Xi’an Jiaotong University, 277 West Yanta Road, Xi’an, Shaanxi, ChinaDepartment of Pathology, General Hospital of Ningxia Medical University, Ningxia, ChinaDepartment of Gastroenterology, General Hospital of Ningxia Medical University, Ningxia, ChinaDepartment of Radiology, General Hospital of Ningxia Medical University, Ningxia, ChinaDepartment of Gastroenterology, Affiliated Hospital of Xi’an Jiaotong University, 277 West Yanta Road, Xi’an, Shaanxi, ChinaPancreatic tuberculosis (TB) is an extremely rare form of extrapulmonary tuberculosis even in endemic areas that masquerades as a mass or inflammation because of lack of typical clinical manifestations and radiologic features and therefore usually misdiagnosed as a pancreatic malignancy or pancreatitis. Here we present a 23-year-old young man with pancreatic tuberculosis mimicking pancreatic head carcinoma A man who suffered from upper abdominal pain and nausea for half a month was admitted to our hospital. Narrow band imaging (NBI) and gastroscopic imaging, together with endoscopic ultrasonography (EUS), revealed a duodenal bulb mucous prominences lesion. Computed tomography (CT) and magnetic resonance imaging (MRI) both suggested a pancreatic mass which resembled a pancreatic head tumor that had a higher risk of malignancy. The patient therefore accepted an exploratory laparotomy and pancreatoduodenectomy, Whipple operation. Biopsies of pancreas, duodenum, lymph nodes, omentum, and adipose tissues were all performed, revealing tuberculosis infection in pancreas, hepatic portal vein infiltration, and peritoneal dissemination. The patient was treated successfully after operation and recovered with standard anti-TB drugs for 6 months. Timely reporting of this rare case can help physicians improve their ability to identify several specific illnesses and diseases that share confusing signs or symptoms clinically and radiographically.http://dx.doi.org/10.1155/2017/4396759 |
| spellingShingle | Meng Zhu Ning Zhang Wei Tao Zhitao Wang Shuixiang He Pancreatic Tuberculosis with Vascular Involvement and Peritoneal Dissemination in a Young Man Case Reports in Medicine |
| title | Pancreatic Tuberculosis with Vascular Involvement and Peritoneal Dissemination in a Young Man |
| title_full | Pancreatic Tuberculosis with Vascular Involvement and Peritoneal Dissemination in a Young Man |
| title_fullStr | Pancreatic Tuberculosis with Vascular Involvement and Peritoneal Dissemination in a Young Man |
| title_full_unstemmed | Pancreatic Tuberculosis with Vascular Involvement and Peritoneal Dissemination in a Young Man |
| title_short | Pancreatic Tuberculosis with Vascular Involvement and Peritoneal Dissemination in a Young Man |
| title_sort | pancreatic tuberculosis with vascular involvement and peritoneal dissemination in a young man |
| url | http://dx.doi.org/10.1155/2017/4396759 |
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