Isolated pancreatic tail and splenic hilum tuberculosis: a rare case report.

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.