Pancreatic pseudotumor due to peripancreatic tuberculous lymphadenitis |
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| Institution: | 1. Department of General Surgery, Cumhuriyet University Faculty of Medicine, Sivas, Turkey;2. Department of Infectious Diseases, Cumhuriyet University Faculty of Medicine, Sivas, Turkey;3. Department of Pathology, Cumhuriyet University Faculty of Medicine, Sivas, Turkey;1. Infectious Diseases Department and Extra-pulmonary Research Unity UR17SP12, Hedi Chaker University Hospital, University of Sfax, Tunisia;2. Preventive Medicine and Hygiene Department, Hedi Chaker University Hospital, University of Sfax, Tunisia;3. Pediatric Emergency and Reanimation Department, Hedi Chaker University Hospital, University of Sfax, Tunisia;1. Nuclear and Energy Research Institute–IPEN-CNEN/SP, Av. Prof. Lineu Prestes, 2242, Cidade Universitaria, 05508-000 Sao Paulo, Brazil;2. Department of Chemistry, Hacettepe University, 06800, Beytepe, Ankara, Turkey;1. CORIA-UMR 6614- Normandie Université, CNRS-Université et INSA de Rouen, Campus Universitaire du Madrillet, 76800 Saint-Etienne-du Rouvray, France;2. Department of Physics, Cleveland State University, Cleveland, OH 44115, USA;3. Department of Electrical and Computer Engineering, São Carlos School of Engineering, University of São Paulo, 400, Trabalhador São-Carlense Avenue, São Carlos, SP 13566-590, Brazil;4. School of Physics and Optoelectronic Engineering, Xidian University, Xi׳an, Shannxi 710071, China;1. Centre Hospitalier Universitaire La Cavale Blanche Université de Bretagne Ouest, Anaesthesiology, Critical care and Perioperative medicine Department, Brest, France;2. University Hospital of Toulouse, Anaesthesia, Critical Care & Perioperative Medicine, Toulouse, France;3. University of Toulouse III, INSERM U1297, Institute of Cardiovascular and Metabolic Diseases, Toulouse, France;4. Department of Anaesthesiology and Surgical Intensive Care, Bichat Claude-Bernard Hospital, AP-HP, DMU PARABOL, France |
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| Abstract: | Peripancreatic tuberculous lymphadenitis is a very rare and difficult diagnosis. We report herein a patient with a clinically solitary abdominal tuberculoma. A 68-year-old woman was admitted to our hospital with moderate-level obstructive jaundice due to a mass located between pylorus and head of the pancreas. There were no clinical signs or symptoms of tuberculosis in lungs or abdomen. After the diagnosis of a neoplasm of the pancreas was made, exploratory laparotomy was performed which revealed a conglomerated mass penetrating into the pancreas. Since an exact diagnosis could not be reached on the basis of frozen sections prepared during the operation, a standard Whipple procedure was performed. After the histopathological examination of the resected specimen revealed tuberculous lympadenitis, the patient was given antituberculous medication. The patient recovered well. An abdominal tuberculoma is often mistaken for a malignant neoplasm, and nonsurgical diagnosis and treatment of this entity continues to be a challenge. |
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