Abstract
A 60-year-old woman presented with vague abdominal pain for one week was referred to pancreatic tail carcinoma accompanied with splenic metastasizes. She came to our hospital for further treatment. Ultrasonography and abdominal computed tomography (CT) revealed a pancreatic tail tumor with splenic metastasizes. There was no history of tuberculosis. Laparotomy was performed because pancreatic tail carcinoma with splenic metastasizes was highly suspected. Indurated mass in the pancreatic tail and sporadic metastasizes in the spleen had been found during the surgery. The pancreatic tail and the spleen were removed and proved to be tuberculosis on histological examination of a frozen section. The patient was given antituberculosis therapy and is now getting well. Tuberculosis should be considered in the differential diagnosis of pancreatic masses. The response to antituberculosis treatment is very favorable.
Highlights
Pancreatic tuberculosis (TB) is considered to be extremely rare
Because almost all cases of pancreatic TB are effective to antituberculosis management, highlighted awareness of the incident of pancreatic tuberculosis could help to manage this disease
Abdominal ultrasonography scan showed that sporadic metastasizes in the spleen and the common computed tomography (CT) scan showed the malignant tumor in the tail of the pancreas with metastasizes in the spleen
Summary
Pancreatic tuberculosis (TB) is considered to be extremely rare. in the past 20 years, the report of the pancreatic TB has increasing. She had a past medical history significant for appendectomy, cholecystectomy, left ovariotomy, left breast fibromectomy, left parotectomy and lung nodal with the therapy of steroid. Abdominal ultrasonography scan showed that sporadic metastasizes in the spleen and the common computed tomography (CT) scan showed the malignant tumor in the tail of the pancreas with metastasizes in the spleen She was referred to our department for surgical treament on Jan 25, 2007. The postoperative course was uncomplicated, and the patient was discharged on postoperative day 7 in stable condition Before her discharge, her case was reported to the Shanghai Health Department and send to the lazaretto for the further therapy of the TB. She has been followed and is currently doing well, having completed her anti-TB therapy
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