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| Diagnostic approaches for pancreatic tuberculosis |
| Chang-Xin Wu a , # , Li-Bing Xiao b , # , Zhong-Fei Luo a , Shao-Hua Shi c , ∗ |
a Department of Hepatobiliary and Pancreatic Surgery, Jinjiang Municipal Hospital, Jinjiang 362200, China
b Department of Hand Surgery, Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University Shulan International Medical College, Hangzhou
310000, China
c Department of Hepatobiliary and Pancreatic Surgery, Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University Shulan International Medical
College, Hangzhou 310000, China
∗ Corresponding author.
E-mail address: shissmaoff@163.com (S.-H. Shi).
# Contributed equally.
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Abstract Pancreatic tuberculosis refers to tuberculosis of pancreas and peripancreatic lymph nodes due to both conditions having similar clinical manifestations and therapeutic regimens [1,2]. It is a rare entity worldwide, which is often shown as mass and treated by the unnecessary surgery due to misdiagnosis as pancreatic malignancy [1,2]. In most patients, abdominal tuberculosis is often independent of pulmonary tuberculosis, with an incidence of coexisting disease ranging from 5% to 36% and abdominal tuberculosis constituting about 11% of extra-pulmonary tuberculosis [2,3]. Pancreatic tuberculosis is part of abdominal tuberculosis, which can involve the gastrointestinal tract, peritoneum, lymph nodes and solid viscera, and has been troubling surgeons because of its variable signs and symptoms [3]. Here, we presented a pancreatic tuberculosis case with a resolution of obstructive jaundice before antitubercular therapy, then made a literature review on its diagnostic approaches.
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2023, Vol. 22 
