• La Clinica terapeutica · Jan 2012

    Case Reports

    Isolated pancreatic tuberculosis: a diagnostic challenge.

    • M Assenza, L Simonelli, V Romeo, L Valesini, L Centonze, and C Modini.
    • Emergency Department, Division of Emergency Surgery and Trauma, Umberto I General Hospital, University Sapienza, Rome, Italy. marco.assenza@uniroma1.it
    • Clin Ter. 2012 Jan 1; 163 (5): e327-9.

    AbstractAbdominal tuberculosis is quite commonly found in miliary tuberculosis, especially in countries where TB is endemic, however the abdominal localization of tuberculosis in absence of disseminated disease is a rare condition and the involvement of the pancreas alone is extremely rare. Epidemiology of TB is changing in the latest years, often this illness is found in non-endemic regions and physicians are asked to interpret what happen when an old disease meets new diagnostic technologies. We describe the case of a young male admitted in our hospital for abdominal pain. Echotomography, CT scan and MRI showed a pancreatic mass suspected to be cancer and susceptible to surgical treatment, Endoscopic Ultrasound guided fine needle aspiration (FNA) showed isolated pancreatic tuberculosis.

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