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PANCREATIC TUBERCULOSIS AND ITS DIAGNOSIS BY ENDOSCOPIC ULTRASONOGRAPHY: REPORT OF TWO CASES AND REVIEW OF THE LITERATURE
Author(s) -
Garg Pramod Kumar,
Arcidiacono Paolo Giorgio,
Singhal Amit,
Bhatia Vikram,
Mathur Sandeep R
Publication year - 2008
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.2008.00793.x
Subject(s) - medicine , endoscopic ultrasonography , tuberculosis , pancreatic mass , radiology , pancreas , pancreatic cancer , ultrasonography , fine needle aspiration , jaundice , abdominal ultrasonography , fine needle aspiration cytology , abdominal pain , general surgery , endoscopy , surgery , cancer , biopsy , pathology
Mass lesions in the head of the pancreas are generally malignant and it is difficult to diagnose benign lesions preoperatively. We describe two patients with pancreatic tuberculosis, who presented with abdominal pain, jaundice and a pancreatic head mass, mimicking cancer. The correct diagnosis could be made by endoscopic ultrasonography (EUS) and EUS‐guided fine‐needle aspiration (FNA) cytology in both patients, precluding the need for surgery. Both patients responded well to anti‐tuberculosis treatment. We conclude that EUS with guided FNA is a useful modality to diagnose pancreatic tuberculosis.