Τίτλος:
Pancreatic tuberculosis in non-immunocompromised patients: reports of
two cases, and a literature review
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
We present two cases of biopsy proven tuberculosis of the pancreas in
non-immunocompromised patients diagnosed and treated in our unit within
the last 14 years, The first case presented with abdominal pain and
fever, and the second with iron deficiency anaemia and severe weight
loss. In both cases abdominal ultrasound and computed tomography
suggested a pancreatic carcinoma. There was no pulmonary or intestinal
tuberculosis. The tuberculin skin test was positive. Upon exploratory
laparotomy the macroscopic appearance of the pancreas was that of an
inoperable pancreatic carcinoma. Following the histological diagnosis of
pancreatic tuberculosis, both patients were successfully treated with
triple antituberculous therapy for 6 months, Isolated pancreatic
tuberculosis is an extremely rare disease with only 41 cases in
non-immunocompromised patients reported worldwide (1966-1997), It is a
curable disease and should be considered in the differential diagnosis
of a pancreatic mass or abscess shown on ultrasound or computed
tomography, especially in developing countries, where tuberculosis is
common. Eur J Gastroenterol Hepatol 10:973-976 (C) 1998 Lippincott
Williams & Wilkins.
Συγγραφείς:
Ladas, SD
Vaidakis, E
Lariou, C
Anastasiou, K and
Chalevelakis, G
Kintzonidis, D
Raptis, SA
Περιοδικό:
European Journal of Gastroenterology and Hepatology
Εκδότης:
Lippincott, Williams & Wilkins
Λέξεις-κλειδιά:
duodenal stricture; duodenal ulcer; pancreas; pancreatic abscess;
pancreatic carcinoma; tuberculosis
DOI:
10.1097/00042737-199811000-00013