Open AccessLaparotomija kao metoda izbora u postavljanju dijagnoze peripankreaticne tuberkulozne limfadenopatije
Author(s) -
D. Basaric,
Mladen Milicevic,
Danijel Galun,
Predrag Bulajić,
Marinko Žuvela,
Nemanja Bidzic,
Aleksandar Bogdanović
Publication year - 2015
Publication title -
acta chirurgica iugoslavica
Language(s) - English
Resource type - Journals
eISSN - 2406-0887
pISSN - 0354-950X
DOI - 10.2298/aci1502047b
Subject(s) - medicine , nausea , biopsy , surgery , laparoscopy , weight loss , head of pancreas , lesion , pancreas , abdomen , tuberculosis , general surgery , radiology , pathology , obesity
Peripancreatic lymph node tuberculosis is a rare disease with a difficult diagnosis. The case of a 61-year-old patient who was admitted because of intermittent dull pain in upper abdomen lasting 3-4 months followed by nausea, loss of appetite and body weight. The applied diagnostic procedures indicate a change in the head of the pancreas. The method of choice for establishing a definitive histopathological diagnosis is the biopsy of the lesion. Biopsy changes can be done using U.S., CT, Endo U.S. and laparoscopy. Surgery is a last resort only to establish a definitive histopathological diagnosis.