梗阻性黄疸显示的假肿瘤性胰腺结核

Q4 Medicine

Radiology Case Reports Pub Date : 2025-09-11 DOI:10.1016/j.radcr.2025.08.028

Amine Bentayeb MD , Rokia Faris MD , Mehdi Zouaoui MD , Yassine Chait MD , Mbarek Azouaoui MD , Youssef Hnach MD , Nourdin Aqodad MD

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引用次数: 0

摘要

孤立性胰腺结核（TB）极为罕见。其低发病率和非特异性临床表现的结合提出了真正的诊断挑战和复杂的管理。胰腺结核的诊断基于临床、生物学和放射学的综合发现，最重要的是基于组织学证据。我们报告一例假性肿瘤胰腺结核显示梗阻性黄疸在一个48岁的免疫正常的妇女。超声内镜下胰腺周围腺病变活检显示小上皮样和多核巨细胞肉芽肿伴中心干酪样坏死，证实了诊断。病人经四联抗结核治疗成功。

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Pseudotumoral pancreatic tuberculosis revealed by obstructive jaundice

Isolated pancreatic tuberculosis (TB) is extremely uncommon. The combination of its low incidence and nonspecific clinical presentation presents a real diagnostic challenge and complicates management. The diagnosis of pancreatic TB is based on a combination of clinical, biological, and radiological findings, and most importantly, on histological evidence. We report a case of pseudotumoral pancreatic TB revealed by obstructive jaundice in a 48-year-old immunocompetent woman. The diagnosis was confirmed by the presence of small epithelioid and multinucleated giant cell granulomas with central caseous necrosis on biopsies of peripancreatic adenopathy obtained via endoscopic ultrasound. The patient was successfully treated with quadruple anti-tuberculous therapy.

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来源期刊

Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.10

自引率

0.00%

发文量

1074

审稿时长

30 days

期刊介绍： The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.