Document Type

Article

Publication Date

7-1-2010

Comments

This article has been peer reviewed. It is the authors' final version prior to publication in Digestive Diseases and Sciences Volume 55, Issue 7, July 2010, Pages 2118-2120. The published version is available at DOI: 10.1007/s10620-009-0938-6. Copyright © Springer

Abstract

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.

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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

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