Document Type
Article
Publication Date
7-1-2010
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.
Recommended Citation
Fenkel, 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.
https://jdc.jefferson.edu/gastro_hepfp/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
2.TIF (692 kB)
Fig. 2 Endoscopic ultrasound (EUS) image showing the fine-needle aspiration (FNA) needle entering the cyst
3.JPG (1324 kB)
Fig. 3 Fluoroscopic image showing the post-procedure appearance of two double-pigtail stents and a nasocystic catheter
PubMed ID
19693668
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