{"title":"年轻人腹部结核伴胰头累及胰腺恶性肿瘤一例报告。","authors":"Lei Ma, Kun-Peng Wang, Chong Jin","doi":"10.12998/wjcc.v13.i18.101612","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Pancreatic tuberculosis (PTB) is a rare disease, even in immunocompetent hosts. Abdominal tuberculosis involving the pancreatic head and peripancreatic areas may simulate pancreatic head carcinoma.</p><p><strong>Case summary: </strong>We present the case of a 32-year-old man who was admitted to our hospital for intermittent epigastric pain and weight loss. A computed tomography scan and magnetic resonance imaging revealed a mass in the head of the pancreas. The lesion was initially diagnosed as pancreatic head carcinoma on abdominal imaging. Laparotomy confirmed the diagnosis of PTB and the patient received antituberculosis therapy.</p><p><strong>Conclusion: </strong>The present case is reported to emphasize the importance of including PTB in the differential diagnosis of pancreatic lesions.</p>","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"13 18","pages":"101612"},"PeriodicalIF":1.0000,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926931/pdf/","citationCount":"0","resultStr":"{\"title\":\"Abdominal tuberculosis with pancreatic head involvement mimicking pancreatic malignancy in a young man: A case report.\",\"authors\":\"Lei Ma, Kun-Peng Wang, Chong Jin\",\"doi\":\"10.12998/wjcc.v13.i18.101612\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Pancreatic tuberculosis (PTB) is a rare disease, even in immunocompetent hosts. Abdominal tuberculosis involving the pancreatic head and peripancreatic areas may simulate pancreatic head carcinoma.</p><p><strong>Case summary: </strong>We present the case of a 32-year-old man who was admitted to our hospital for intermittent epigastric pain and weight loss. A computed tomography scan and magnetic resonance imaging revealed a mass in the head of the pancreas. The lesion was initially diagnosed as pancreatic head carcinoma on abdominal imaging. Laparotomy confirmed the diagnosis of PTB and the patient received antituberculosis therapy.</p><p><strong>Conclusion: </strong>The present case is reported to emphasize the importance of including PTB in the differential diagnosis of pancreatic lesions.</p>\",\"PeriodicalId\":23912,\"journal\":{\"name\":\"World Journal of Clinical Cases\",\"volume\":\"13 18\",\"pages\":\"101612\"},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2025-06-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926931/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"World Journal of Clinical Cases\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.12998/wjcc.v13.i18.101612\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"World Journal of Clinical Cases","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.12998/wjcc.v13.i18.101612","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Abdominal tuberculosis with pancreatic head involvement mimicking pancreatic malignancy in a young man: A case report.
Background: Pancreatic tuberculosis (PTB) is a rare disease, even in immunocompetent hosts. Abdominal tuberculosis involving the pancreatic head and peripancreatic areas may simulate pancreatic head carcinoma.
Case summary: We present the case of a 32-year-old man who was admitted to our hospital for intermittent epigastric pain and weight loss. A computed tomography scan and magnetic resonance imaging revealed a mass in the head of the pancreas. The lesion was initially diagnosed as pancreatic head carcinoma on abdominal imaging. Laparotomy confirmed the diagnosis of PTB and the patient received antituberculosis therapy.
Conclusion: The present case is reported to emphasize the importance of including PTB in the differential diagnosis of pancreatic lesions.
期刊介绍:
The World Journal of Clinical Cases (WJCC) is a high-quality, peer reviewed, open-access journal. The primary task of WJCC is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of clinical cases. In order to promote productive academic communication, the peer review process for the WJCC is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJCC are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in clinical cases.