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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 15, Issue 3, July 2015 pp 603-605

Case Report

Isolated pancreatic tuberculosis with peri - pancreatic lymph nodes in an immunocompetent individual mimicking pancreatic neoplasm - A case report

Jeyanthi G1, Paribalaji G2, Sivagami M3

{1Assistant Professor, 3Associate Professor, Department of Pathology} {2Assistant Surgeon, Department of Gastroentrology}

Madurai Medical College, Madurai, Tamil Nadu, INDIA.

Isolated pancreatic tuberculosis is an extremely rare entity, despite the high prevalence of tuberculosis worldwide. As the pancreas is protected from direct environmental exposure, most cases of pancreatic tuberculosis are caused by contiguous spread of infection from peri – pancreatic lymph nodes or rarely by haematogenous spread. Pancreatic tuberculosis can present as a cystic or solid mass mimicking pancreatic malignancy. Here, we present the case of a 22 year old immunocompetent male who presented with a mass in the head of pancreas with peri - pancreatic lymph nodes for which Endoscopic Ultrasound biopsy was done to rule out malignancy. Histopathologically, it was proven to be a case of isolated pancreatic tuberculosis with tuberculous lymphadenitis. The diagnosis was confirmed by stain for Acid-Fast bacilli.