Tuberculosis presenting as a pancreatic cystic neoplasm

Niels van der Naald; Anton F Engelsman; Marc R W Engelbrecht; Joanne Verheij; Marc G Besselink; Olivier R Busch; Thomas van Gulik

doi:https://doi.org/10.1136/bcr-2018-225983

Tuberculosis presenting as a pancreatic cystic neoplasm

Niels van der Naald, Anton F Engelsman, Marc R W Engelbrecht, Joanne Verheij, Marc G Besselink, Olivier R Busch, Thomas van Gulik

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

A 33-year-old Thai born woman was referred to our tertiary referral hospital with back and epigastric pain. Investigations included abdominal ultrasound and CT scan of the abdomen which demonstrated a 3 cm cystic lesion in the head of the pancreas, most likely a mucinous cystadenoma. Because of its malignant potential resection was advised. During surgical exploration, the tumour appeared unresectable, due to involvement of the common hepatic artery. PCR on biopsy revealed Mycobacterium tuberculosis The patient was referred to an infectious disease specialist, and a full recovery was achieved after 6 months of antimicrobials.

Original language	English
Article number	e225983
Journal	BMJ Case Reports
Volume	11
Issue number	1
DOIs	https://doi.org/10.1136/bcr-2018-225983
Publication status	Published - 2018

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https://doi.org/10.1136/bcr-2018-225983

Cite this

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title = "Tuberculosis presenting as a pancreatic cystic neoplasm",

abstract = "A 33-year-old Thai born woman was referred to our tertiary referral hospital with back and epigastric pain. Investigations included abdominal ultrasound and CT scan of the abdomen which demonstrated a 3 cm cystic lesion in the head of the pancreas, most likely a mucinous cystadenoma. Because of its malignant potential resection was advised. During surgical exploration, the tumour appeared unresectable, due to involvement of the common hepatic artery. PCR on biopsy revealed Mycobacterium tuberculosis The patient was referred to an infectious disease specialist, and a full recovery was achieved after 6 months of antimicrobials.",

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AU - Engelsman, Anton F

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AU - Verheij, Joanne

AU - Besselink, Marc G

AU - Busch, Olivier R

AU - van Gulik, Thomas

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N2 - A 33-year-old Thai born woman was referred to our tertiary referral hospital with back and epigastric pain. Investigations included abdominal ultrasound and CT scan of the abdomen which demonstrated a 3 cm cystic lesion in the head of the pancreas, most likely a mucinous cystadenoma. Because of its malignant potential resection was advised. During surgical exploration, the tumour appeared unresectable, due to involvement of the common hepatic artery. PCR on biopsy revealed Mycobacterium tuberculosis The patient was referred to an infectious disease specialist, and a full recovery was achieved after 6 months of antimicrobials.

AB - A 33-year-old Thai born woman was referred to our tertiary referral hospital with back and epigastric pain. Investigations included abdominal ultrasound and CT scan of the abdomen which demonstrated a 3 cm cystic lesion in the head of the pancreas, most likely a mucinous cystadenoma. Because of its malignant potential resection was advised. During surgical exploration, the tumour appeared unresectable, due to involvement of the common hepatic artery. PCR on biopsy revealed Mycobacterium tuberculosis The patient was referred to an infectious disease specialist, and a full recovery was achieved after 6 months of antimicrobials.

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