Infective Enterocolitides

Pancreaticoduodenal Tuberculosis Simulating Metastatic Ovarian Carcinoma

“…Alimentary tract involvement is much less common than pulmonary involvement, and in the alimentary tract the disease most often involves the ileocecal region. Upper gastrointestinal TB is rarer, even in patients with pulmonary or ileocecal lesions, and most often involves both the stomach and duodenum contiguously (2)(3)(4)(5)(6)(7)(8). Most large reported series come from developing or newly developed countries; in a series of 50 patients from Kuwait, the esophagus, stomach, duodenum and pancreas were all involved in one patient, compared with small and/or large intestine involvement in 16 patients, lymph nodes in 21 and peritoneum in 18 (5).…”

“…heal with excessive fibrostenosis. The disease can spread by the lymphatics to the regional nodes and from both the hollow viscera and nodes to the peritoneum (2)(3)(4)(5)(6)(7)(8). In our patient the lymphadenopathy and the pancreaticoduodenal and bilateral ovarian masses were so striking that the provisional diagnosis was an advanced malignancy, probably ovarian carcinoma.…”