INTRODUCTION

Development of abdominal TB is independent of pulmonary disease with a reported incidence of 5-10% of all extrapulmonary sites involved. Organs commonly affected in TB abdomen includes liver, spleen, bowel, peritoneum and mesenteric nodes. Isolated pancreatic TB is a rare clinical entity seen only in approximately 8.3% of abdominal TB patients with only a hand full of cases been reported so far. In a study conducted by Bhansali et. Al with 300 patients of abdominal TB, not even a single patient had pancreatic involvement proving the rarity of this condition.⁽¹⁾ Pancreatic TB is commonly seen in TB dissemination or in immunocompromised patients.^(2,3)

Isolated TB pancreas commonly presents as discrete pancreatic mass often mimicking pancreatic malignancy or pyogenic pancreatitis, most commonly seen in young individuals with 50% of cases reported so far aged between 20-30yrs.⁽⁴⁾ Early suspicion and diagnosis is needed as these patients have an excellent outcome to standard ATT treatment. We herewith report a case of isolated pancreatic TB for its rarity.

Keywords: pancreas, tuberculosis, cystic neoplasm.

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Dr .Sathish Kumar K

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