World Journal of Endocrine Surgery

Register      Login

VOLUME 11 , ISSUE 3 ( September-December, 2019 ) > List of Articles


Pancreatic Mass: Remember Tuberculosis

Nabal K Mishra, Prabhu Nath, Subhajeet Dey, Tanweer Karim

Keywords : Extrapulmonary tuberculosis, Pancreatic mass, Pancreatic tuberculosis

Citation Information : Mishra NK, Nath P, Dey S, Karim T. Pancreatic Mass: Remember Tuberculosis. World J Endoc Surg 2019; 11 (3):80-81.

DOI: 10.5005/jp-journals-10002-1268

License: CC BY-NC 4.0

Published Online: 01-06-2015

Copyright Statement:  Copyright © 2019; The Author(s).


Pancreatic tuberculosis is a rare disease. Patients with pancreatic tuberculosis often present with nonspecific symptoms, such as low-grade fever, weight loss, and abdominal pain, and with or without a history of tuberculosis or pancreatic disease. It can be misdiagnosed on account of low index of suspicion due to its rarity, and its presenting symptoms are shared by other common pancreatic conditions such as pancreatic malignancy. This could result in unnecessary surgery. As this is a treatable disease which does not require surgery, it is imperative to diagnose this condition preoperatively. We report this patient of pancreatic mass presenting as locally advanced pancreatic malignancy, subsequently diagnosed to be pancreatic tuberculosis and successfully managed with antitubercular medications.

  1. Yokoyama T, Miyagawa S, Noike T, et al. Isolated pancreatic tuberculosis. Hepatogastroenterology 1999;46(27):2011–2014.
  2. Auerbach O. Acute generalized miliary tuberculosis. Am J Pathol 1944;20(1):121–136.
  3. Hari S, Seith A, Srivastava DN, et al. Isolated tuberculosis of the pancreas diagnosed with needle aspiration: a case report and review of the literature. Trop Gastroenterol 2005;26(3):141–143.
  4. Franco-Paredes C, Leonard M, Jurado R, et al. Tuberculosis of the pancreas: report of two cases and review of literature. Am J Med Sci 2002;323(1):54–58. DOI: 10.1097/00000441-200201000-00010.
  5. Sharma SK, Mohan A. Extrapulmonary tuberculosis. Indian J Med Res 2004;120(4):316–353.
  6. Saluja SS, Ray S, Pal S, et al. Hepatobiliary and pancreatic tuberculosis: a two decade experience. BMC Surg 2007;7:10. DOI: 10.1186/1471-2482-7-10.
  7. Xia F, Poon RT, Wang SG, et al. Tuberculosis of pancreas and peripancreatic lymph nodes in immunocompetent patients: experience from China. World J Gastroenterol 2003;9(6):1361–1364. DOI: 10.3748/wjg.v9.i6.1361.
  8. Pereira JM, Madureira AJ, Vieira A, et al. Abdominal tuberculosis: imaging features. Eur J Radiol 2005;55(2):173–180. DOI: 10.1016/j.ejrad.2005.04.015.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.