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Pancreatic tuberculosis with a pancreaticobiliary fistula.
Dig Dis Sci. 2007 May; 52(5):1225-8.DD

Abstract

Pancreatic tuberculosis (TB) is a rare condition that is sometimes difficult to differentiate from pancreatic cancer or other malignancies. A 75-year-old man was admitted to our hospital because of weight loss, fever, and diarrhea. Abdominal ultrasonography and computed tomography (CT) revealed a 3-cm mass in the pancreas head with abdominal lymphadenopathy. Endoscopic retrograde cholangiopancreatography did not show pancreatic duct stenosis or dilatation, but a pancreaticobiliary fistula was demonstrated. Cytological and bacteriological examinations of the pancreatic juice and bile were negative. Endoscopic ultrasonography-guided fine needle aspiration of the mass was not diagnostic. Colonoscopic features and biopsy specimens affirmed the diagnosis of TB, and treatment with antitubercular drugs was started. The pancreatic mass disappeared within 8 weeks and the pancreaticobiliary fistula resolved.

Authors+Show Affiliations

Department of Gastroenterology, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. ynakai-tky@umin.ac.jpNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

17372824

Citation

Nakai, Yousuke, et al. "Pancreatic Tuberculosis With a Pancreaticobiliary Fistula." Digestive Diseases and Sciences, vol. 52, no. 5, 2007, pp. 1225-8.
Nakai Y, Tsujino T, Kawabe T, et al. Pancreatic tuberculosis with a pancreaticobiliary fistula. Dig Dis Sci. 2007;52(5):1225-8.
Nakai, Y., Tsujino, T., Kawabe, T., Kogure, H., Sasaki, T., Yamamoto, N., Sasahira, N., Isayama, H., Tada, M., & Omata, M. (2007). Pancreatic tuberculosis with a pancreaticobiliary fistula. Digestive Diseases and Sciences, 52(5), 1225-8.
Nakai Y, et al. Pancreatic Tuberculosis With a Pancreaticobiliary Fistula. Dig Dis Sci. 2007;52(5):1225-8. PubMed PMID: 17372824.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pancreatic tuberculosis with a pancreaticobiliary fistula. AU - Nakai,Yousuke, AU - Tsujino,Takeshi, AU - Kawabe,Takao, AU - Kogure,Hirofumi, AU - Sasaki,Takashi, AU - Yamamoto,Natsuyo, AU - Sasahira,Naoki, AU - Isayama,Hiroyuki, AU - Tada,Minoru, AU - Omata,Masao, Y1 - 2007/03/20/ PY - 2006/03/30/received PY - 2006/05/31/accepted PY - 2007/3/21/pubmed PY - 2007/6/23/medline PY - 2007/3/21/entrez SP - 1225 EP - 8 JF - Digestive diseases and sciences JO - Dig. Dis. Sci. VL - 52 IS - 5 N2 - Pancreatic tuberculosis (TB) is a rare condition that is sometimes difficult to differentiate from pancreatic cancer or other malignancies. A 75-year-old man was admitted to our hospital because of weight loss, fever, and diarrhea. Abdominal ultrasonography and computed tomography (CT) revealed a 3-cm mass in the pancreas head with abdominal lymphadenopathy. Endoscopic retrograde cholangiopancreatography did not show pancreatic duct stenosis or dilatation, but a pancreaticobiliary fistula was demonstrated. Cytological and bacteriological examinations of the pancreatic juice and bile were negative. Endoscopic ultrasonography-guided fine needle aspiration of the mass was not diagnostic. Colonoscopic features and biopsy specimens affirmed the diagnosis of TB, and treatment with antitubercular drugs was started. The pancreatic mass disappeared within 8 weeks and the pancreaticobiliary fistula resolved. SN - 0163-2116 UR - https://www.unboundmedicine.com/medline/citation/17372824/Pancreatic_tuberculosis_with_a_pancreaticobiliary_fistula_ L2 - https://doi.org/10.1007/s10620-006-9471-z DB - PRIME DP - Unbound Medicine ER -