Yogesh Rawat, Mohd Sadik Akhtar, Ankur Rawat, Praveen Raj
{"title":"Isolated pancreatic tail and splenic hilum tuberculosis: a rare case report.","authors":"Yogesh Rawat, Mohd Sadik Akhtar, Ankur Rawat, Praveen Raj","doi":"10.1093/jscr/rjaf754","DOIUrl":null,"url":null,"abstract":"<p><p>Abdominal tuberculosis (TB) is a rare extrapulmonary manifestation, with pancreatic and splenic involvement being extremely uncommon and often misdiagnosed as malignancy. We present the case of a 22-year-old female with chronic epigastric pain, weight loss, and fever. Imaging revealed a necrotic lymph node mass near the pancreatic tail and splenic hilum with splenic infarction. Fine-needle aspiration cytology confirmed TB, and the patient responded well to anti-tubercular therapy, avoiding surgical intervention. This case underscores the importance of considering TB in the differential diagnosis of upper abdominal masses in endemic regions to prevent unnecessary surgeries.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf754"},"PeriodicalIF":0.5000,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449758/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Surgical Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1093/jscr/rjaf754","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/9/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Abdominal tuberculosis (TB) is a rare extrapulmonary manifestation, with pancreatic and splenic involvement being extremely uncommon and often misdiagnosed as malignancy. We present the case of a 22-year-old female with chronic epigastric pain, weight loss, and fever. Imaging revealed a necrotic lymph node mass near the pancreatic tail and splenic hilum with splenic infarction. Fine-needle aspiration cytology confirmed TB, and the patient responded well to anti-tubercular therapy, avoiding surgical intervention. This case underscores the importance of considering TB in the differential diagnosis of upper abdominal masses in endemic regions to prevent unnecessary surgeries.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
