• J Coll Physicians Surg Pak · Nov 2022

    Case Reports

    Pancreatic Tuberculosis mimicking as a Pancreatic Mass Lesion.

    • Zain Majid, Adeel Ur Rehman, Hina Ismail, Nasir Hassan Luck, and Muhammad Mubarak.
    • Department of Gastroenterology, Sindh Institute of Urology and Transplantation, Karachi, Pakistan.
    • J Coll Physicians Surg Pak. 2022 Nov 1; 32 (11): 148614881486-1488.

    AbstractTuberculosis is a global health problem and commonly affects the respiratory system. The involvement of the pancreas in this disease is a rare event. We hereby report a case of a young male who presented with right hypochondrial pain along with significant weight loss. Further workup revealed a raised erythrocyte sedimentation rate along with a pancreatic mass lesion on the CT scan. Endoscopic ultrasound-guided biopsy of the pancreatic lesion revealed evidence of caseation necrosis along with epithelioid granuloma, findings suggestive of tuberculosis. He was started on anti-tuberculous therapy for 6 months and a repeat CT scan showed complete disappearance of the mass lesion and resolution of symptoms. Key Words: Tuberculosis, Pancreatic mass, Endoscopic ultrasound, Biopsy.

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