Year 2017 / Volume 109 / Number 7
Case Report
Primary peripancreatic lymph node tuberculosis as a differential diagnosis of pancreatic neoplasia

528-530

DOI: 10.17235/reed.2017.4811/2016

Nuria García del Olmo, Andrea Boscà Robledo, Rafael Penalba Palmí, Elena Añón Iranzo, Javier Aguiló Lucía,

Abstract
Primary peripancreatic lymph node tuberculosis is an exceptional entity in immunocompetent patients, but its incidence is increasing in developed countries in recent years due to increasing immigration. It usually presents as a pancreatic mass and is misdiagnosed as pancreatic neoplasia in most cases, with the diagnosis of tuberculosis occurring after surgery. We report the case of a 38 year old Pakistani man with abdominal pain of several months duration, who was initially diagnosed with a pancreatic neoplasm after detecting a mass in the pancreatic isthmus by computed tomography (CT) and abdominal magnetic resonance imaging (MRI). However, after performing an endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNAB), the patient was diagnosed with peripancreatic lymph node tuberculosis. After receiving anti-tuberculous treatment, the patient presented clinical improvement, despite a small reduction in the lesion size. In conclusion, peripancreatic lymph node tuberculosis is part of the differential diagnosis of pancreatic neoplasia. Endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNAB) represents a valuable and useful diagnostic tool for detecting this pathology, avoiding surgeries with a high morbidity and mortality.
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References
1. Yamada R, Inoue H, Yoshizawa N et al. Peripancreatic Tuberculous Lymphadenitis with Biliary Obstruction Diagnosed by Endoscopic Ultrasound-guided Fine-needle Aspiration Biopsy. Intern Med. 2016; 55: 919-923.
2. Kim J-B, Lee S, Kim S-H et al. Peripancreatic tuberculous lymphadenopaty masquerading as pancreatic malignancy: A single-center experience. Journal of Gastroenterology and Hepatology. 2014; 29: 409-416.
3. Chaudhary P, Bhadara U, Arora M et al. Pancreatic tuberculosis. Indian J Surg. 2015; 77(6): 517-524.
4. Sonthalia N, Ray S, Pal P et al. Fine neddle aspiration diagnosis of isolated pancreatic tuberculosis: a case report. World J Clin Cases. 2013; 16;1(5):181-6.
5. Sportes A, Kpossou R, Bernardin S. Isolated pandreatic tuberculosis mimicking inoperable pancreatic cáncer: a diagnostic challenge resolved using endoscopic ultrasound-guided fine-needle aspiration. Can J Gastroenterolol. 2013; 27(8): 445-7.
6. Goel V, Shivakumar K, Rajaram B et al. Tuberculous celiac axis lymphadenopathy mimicking cystic pancreatic neoplasm - a diagnostic dilema. Indian J Surg Oncol. 2014;5(4):278-81.
7. Liu Q, He Z, Bie P. Solitary pancreatic tuberculous abscess mimicking prancreatic cystadenocarcinoma: a case report. BMC Gastroenterol. 2003 ;10;3:1.
8. Barquilla-Cordero P, Chiquero-Palomo M, Martín-Noguerol E et al. Primary pancreatic tuberculosis in an immunocompetent patient: first case report in Spain. Gastroenterol Hepatol. 2010; 33(8): 582-5.
9. Vafa H, Arvanitakis M, Matos C et al. Pancreatic tuberculosis diagnosed by EUS: one disease, many faces.
JOP. 2013; 10;14(3):256-60.
10. Ray S, Das K, Mridha AR. Pancreatic and peripancreatic nodal tuberculosis in immunocompetent patients: report of three cases. JOP. 2012; 10;13(6):667-70.
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García del Olmo N, Boscà Robledo A, Penalba Palmí R, Añón Iranzo E, Aguiló Lucía J. Primary peripancreatic lymph node tuberculosis as a differential diagnosis of pancreatic neoplasia. 4811/2016


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Publication history

Received: 22/12/2016

Accepted: 04/03/2017

Online First: 16/05/2017

Published: 30/06/2017

Article revision time: 51 days

Article Online First time: 145 days

Article editing time: 190 days


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