Pancreatic tuberculosis diagnosed with endoscopic ultrasound guided fine needle aspiration

Sushil K. Ahlawat, Aline Charabaty-Pishvaian, James H. Lewis, Nadim G. Haddad

Research output: Contribution to journalArticle

Abstract

Context: Isolated pancreatic tuberculosis is rare in the Western world. Its clinical presentation often mimics pancreatic malignancy and the diagnosis is usually not suspected or confirmed prior to laparotomy. Endoscopic ultrasound guided fine needle aspiration cytology has proved to be an excellent tool for the cytological diagnosis of pancreatic and peripancreatic masses. However, this technique has not been reported for diagnosing pancreatic or peripancreatic tuberculosis. Case report: We describe a 57-year-old South Asian man with pancreatic tuberculosis who presented with fever of undetermined origin and a pancreatic mass on imaging. He was successfully treated with anti-tuberculosis regimen following confirmation of his diagnosis with endoscopic ultrasound guided fine needle aspiration cytology. Conclusions: Pancreatic tuberculosis should be suspected in patients having a pancreatic mass, particularly if patient presents with fever and lived in, or traveled to, an area of endemic tuberculosis or exposed to tuberculosis. When the diagnosis is suspected, endoscopic ultrasound guided fine needle aspiration cytology of the pancreatic lesion can confirm the diagnosis and so avoid an unnecessary explorative laparotomy or pancreatic resection.

Original languageEnglish (US)
Pages (from-to)598-602
Number of pages5
JournalJournal of the Pancreas
Volume6
Issue number6
StatePublished - Nov 1 2005
Externally publishedYes

Keywords

  • Biopsy, fine-needle
  • Endosonography
  • Pancreas

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Hepatology
  • Endocrinology

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