Primary Pancreatic Tuberculosis: Presentation and Diagnosis

Desai, Shashank; Bhanthunmavin, Kowit; Hollands, Michael

doi:10.1046/j.1440-1622.2000.01775.x

Cited by 10 publications

(6 citation statements)

References 4 publications

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“…These features, however, are nonspecific and may resemble those of inflammatory or neoplastic cystic lesions of the pancreas. Rarely, diffuse enlargement of the pancreas along with hypodense areas may be seen [10]. The latter morphologic abnormalities are also nonspecific and may be seen with pancreatitis and lymphoma.…”

Section: Discussionmentioning

confidence: 99%

Tuberculosis of the Pancreas: MRI Features

Backer

Mortelé

Bomans

et al. 2005

American Journal of Roentgenology

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Pancreatic tuberculosis can be focal or diffuse. If focal, it presents as a sharply delineated mass located in the pancreatic head, showing heterogeneous enhancement. Lesions are hypointense on fat-suppressed T1-weighted images and a mixture of hypo- and hyperintense on T2-weighted images. The appearances of common bile duct and main pancreatic duct are normal. Diffuse involvement is characterized by pancreatic enlargement with narrowing of the main pancreatic duct and heterogeneous enhancement. Signal intensity abnormalities indicating diffuse involvement include hypointensity on fat-suppressed T1-weighted images and hyperintensity on T2-weighted images.

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Section: Discussionmentioning

confidence: 99%

Tuberculosis of the Pancreas: MRI Features

Backer

Mortelé

Bomans

et al. 2005

American Journal of Roentgenology

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“…7 Active miliary tuberculosis of the spleen on a US showing multiple tiny echogenic foci of tuberculous granulomata, and b CT revealing hypodense, enlarged spleen Pancreas Tuberculosis of the pancreas is extremely rare and only a few cases have been reported in the literature [10,28,66,67,68]. Although the pancreas is involved in miliary tuberculosis, it may be the only site of reactivation of tuberculosis after many years [68]. Tuberculous lesions in the pancreas are usually located in the head and less commonly in the body and tail.…”

Section: Liver and Spleenmentioning

confidence: 99%

“…The lesion may show some peripheral enhancement after intravenous contrast injection [24,32,67]. Ultrasound and CT rarely show a diffuse enlargement of pancreas along with hypodense areas [68]. Peripancreatic lymph nodes are sometimes present and demonstrated by both US and CT. Endoscopic retrograde cholangiopancreatography may disclose displacement and stenosis of the main pancreatic duct which is usually mistaken for pancreatic tumor [66].…”

Section: Liver and Spleenmentioning

confidence: 99%

Imaging of abdominal tuberculosis

2001

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The concept of "abdominal tuberculosis" in this review refers to peritoneum and its reflections, gastrointestinal tract, abdominal lymphatic system, and solid visceral organs, as they are subject to varying degrees of involvement alone or in combination. Some features, including free or loculated ascites with thin-mobile septa, smooth peritoneal thickening and enhancement, misty mesentery with large lymph nodes, smudged omental involvement, and advanced ileocecal changes demonstrated by US, CT, or gastrointestinal series are deemed suggestive radiological findings. The diagnosis still requires a high index of suspicion, once the suggestive features have been demonstrated by imaging modalities.

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“…The usual clinical manifestations are chronic abdominal pain, pancreatic mass suggestive of cancer (13)(14)(15), obstructive jaundice (13), gastrointestinal bleeding (16), acute or chronic pancreatitis (17), or pancreatic abscess (18). However, signs of tuberculous infection may be absent (19).…”

Section: Discussionmentioning

confidence: 99%