Malignant paraganglioma of the bile duct

Abstract

postoperative day 3 suggesting a pancreatic fistula. Drainage gradually reduced over a week and the drain was removed.Biopsy of the cyst wall revealed necrotizing epithelioid cell granulomas with Langhans giant cells suggestive of tuberculosis (Figure 4). Stain for AFB was again negative. A diagnosis of tubercular pancreatic abscess was made and the patient was started on antitubercular therapy (ATT). After 4 months of follow-up, the patient made a good recovery and was asymptomatic. ATT is ongoing and a 9-month course is planned.