Pancreatic tuberculosis is a rare clinical entity. It most often is associated with miliary tuberculosis or occurs in the immunocompromised patient and is extremely uncommon in nonendemic geographic regions. Described is a case of isolated infection of the pancreas by Mycobacterium tuberculosis occurring in an otherwise healthy individual from North America who presented with recurrent hyperamylasemia and fevers. Computerized tomography revealed a multiloculated lesion in the head of the pancreas. Intraoperative biopsies demonstrated granulomas. The diagnosis was confirmed by positive cultures. Triple drug therapy was effective in alleviating symptoms, and a follow up CT revealed a normal pancreas. One year following operation the patient remains well.
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Article Synopsis
- A 36-year-old woman was diagnosed with abdominal tuberculosis after presenting with jaundice and biliary obstruction, which imaging tests revealed as a mass near the pancreas and duodenum.
- The diagnosis was confirmed via biopsy, and she was treated successfully with a 6-month TB medication regimen, underscoring the need to consider abdominal TB in patients with GI symptoms and relevant travel history.
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