Premium
Pancreatic tuberculosis
Author(s) -
Sanabe Naoya,
Ikematsu Yoshito,
Nishiwaki Yoshiro,
Kida Hideo,
Murohisa Goh,
Ozawa Takachika,
Hasegawa Shinichi,
Okawada Taketoshi,
Toritsuka Tatsuro,
Waki Shinji
Publication year - 2002
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/s005340200065
Subject(s) - medicine , tuberculosis , mycobacterium tuberculosis , pancreas , positron emission tomography , sputum , pathology , biopsy , radiology
A 63‐year‐old Japanese man visited our institute with fever of unknown origin. Findings on preoperative imaging modalities were consistent with pancreatic carcinoma, but a positive tuberculin skin test indicated tuberculosis infection. Negative results for Mycobacterium DNA polymerase chain reaction from sputum and bone‐marrow aspiration biopsy specimens ruled out pulmonary and miliary tuberculosis, respectively. Positron emission tomography (PET) with 2‐[fluorine‐18]‐fluoro‐2‐deoxy‐ d ‐glucose (FDG) showed multiple labeled spots within the pancreas body and chest. Distal pancreatectomy was performed with a diagnosis of suspected pancreatic carcinoma, but the histological and microbiological diagnosis was Mycobacterium infection. A rare case of pancreatic tuberculosis evaluated by FDG PET is reported and discussed herein.