Case Report

Isolated Pancreatic Tuberculosis Mimicking Pancreatic Cancer: A Diagnostic Challenge

Table 1

It is showing cases of isolated pancreatic tuberculosis in the Western World along with the case characteristics and management strategies and outcomes over the last 5 years.

Study, yearPatient characteristicsTherapy and outcomes

Patel et al., 2013 [3](i) 41-year-old female
(ii) CT, 5.1 cm × 2.8 cm multiloculated solid lesion in the head of the pancreas
(iii) EUS, 4.3 cm × 2.5 cm hypoechoic, homogenous mass lesion with a cystic component within the pancreatic head
RIPE for 2 months and then IR for 7 months

Salahuddin and Saif, 2014 [4](i) 59-year-old male
(ii) MRCP, dilated common bile duct, dilated pancreatic duct, and enlarged lymph nodes in the porta hepatis, peripancreatic and perigastric regions
(iii) EUS, ahypoechoic mass measuring 3 by 4 cm was seen in the pancreatic head
Antitubercular therapy (RIPE) for 18 months

Waintraub et al., 2016 [5](i) 31-year-old male
(ii) MRI, periportal lymphadenopathy indenting pancreatic head and uncinate process and compressing CBD
(iii) EUS, irregular, hypoechoic mass with poorly defined borders in the pancreatic head. Anechoic lesion in the pancreatic tail, suggestive of a cyst or pseudocyst.
Antitubercular therapy