Isolated pancreatic tuberculosis is a rare presentation of tubercular infection. There are few reported cases of pancreatic tuberculosis diagnosed by endoscopic ultrasound with fine-needle aspiration (EUS FNA), though EUS is often used in the evaluation of pancreatic cystic lesions. We present a case of a tubercular pancreatic abscess presenting as a cystic lesion in a patient with undiagnosed immunodeficiency. The abscess was aspirated by EUS FNA and treated with endoscopic drainage and anti-mycobacterial medications.
Recommended CitationFenkel, Jonathan M.; Spodik, Maya; Singu, Bheema S.; Infantolino, Anthony; Deshmukh, Sandeep P.; and Loren, David E., "Tubercular pancreatic abscess presenting as Fever and cystic pancreatic lesion with endoscopic management." (2010). Division of Gastroenterology and Hepatology Faculty Papers. Paper 1.
Fig. 1 Contrast-enhanced computed tomography (CT) scan showing a complex, thick-walled cystic mass at the superolateral aspect of the pancreatic neck without peripancreatic inflammation or changes of acute or chronic pancreatitis
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Fig. 2 Endoscopic ultrasound (EUS) image showing the fine-needle aspiration (FNA) needle entering the cyst
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Fig. 3 Fluoroscopic image showing the post-procedure appearance of two double-pigtail stents and a nasocystic catheter