Pancreatic Tuberculosis with Vascular Involvement and Peritoneal Dissemination in a Young Man

Figure 4

The histopathological pictures. (a) Whipple surgical specimens contained the pancreas, duodenum, partial stomach, and the omentum. The lesion was located on the pancreatic head. ((b) and (c)) HE staining. Granulomatous nodules consisting of lymphocytes, epithelioid cells, and multinucleated giant cells can be seen at the site of the lesion. Necrosis can be seen in the middle of nodules which were marked with an asterisk. The triangle marked the lymphocytes around the nodules. The arrow indicated the multinucleated giant cells reaction. These pathological features suggested tuberculous lesions.

(a)

(b)

(c)