Open AccessTuberculosis presenting as a pancreatic cystic neoplasm
Author(s) -
Niels van der Naald,
Anton F. Engelsman,
Marc R. Engelbrecht,
Joanne Verheij,
Marc G. Besselink,
Olivier R. Busch,
Thomas van Gulik
Publication year - 2018
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2018-225983
Subject(s) - medicine , tuberculosis , mucinous cystadenoma , pancreas , radiology , abdomen , epigastric pain , rare disease , abdominal pain , surgery , general surgery , disease , pathology , vomiting
A 33-year-old Thai born woman was referred to our tertiary referral hospital with back and epigastric pain. Investigations included abdominal ultrasound and CT scan of the abdomen which demonstrated a 3 cm cystic lesion in the head of the pancreas, most likely a mucinous cystadenoma. Because of its malignant potential resection was advised. During surgical exploration, the tumour appeared unresectable, due to involvement of the common hepatic artery. PCR on biopsy revealed Mycobacterium tuberculosis The patient was referred to an infectious disease specialist, and a full recovery was achieved after 6 months of antimicrobials.