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Category: Volume 05 Issue 09 September 2017
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Title: Cystic Space Occupying Lesion (Sol) of Pancreas – Not Always Malignant

Authors: Dr Sathish Kumar K Mch Resident, Prof. Jeswanth S Mch, Prof. Ravichandran P Mch, Prof. Sugumar C Mch, Dr Senthil Kumar P Mch, Dr Kamalakannan R Mch, Dr Saravanan  Mch, Dr Umamageshwaran M Mch, Dr Thiruvarul M Mch

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i9.38

Abstract

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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Corresponding Author

Dr .Sathish Kumar K

Address - No 65, Westmada Street, Thiruvottiyur, Chennai – 600019

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