Ronald Blanco Montecino, Alvaro Cadillo Arbaiza, James Cutrell, Puneet Bajaj, Patricio Polanco, Anna Tavakkoli
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引用次数: 0
Abstract
Pancreatic tuberculosis (TB) is a rare extrapulmonary manifestation that can mimic pancreatic cancer. We report a 61-year-old man presenting with epigastric discomfort, weight loss, elevated liver enzymes, elevated carbohydrate antigen 19-9, and a pancreatic mass causing biliary obstruction. Endoscopic ultrasound-guided biopsies revealed granulomatous inflammation and necrosis. Autoimmune and fungal etiologies were excluded, and acid-fast stains were negative. Definitive diagnosis was achieved through 16S ribosomal RNA sequencing followed by detection of the Mycobacterium tuberculosishsp65 gene. This case highlights the diagnostic challenge of pancreatic TB and the importance of reconsidering the differential diagnosis when histopathological findings do not align with clinical suspicion.
期刊介绍：
ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.
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