Pancreatic Tuberculosis Diagnosed by EUS: One Disease, Many Faces

  • Haydeh Vafa Department of Gastroenterology, Oncology and Hepatology, Erasme Hospital, “Université Libre de Bruxelles” (ULB). Brussels, Belgium
  • Marianna Arvanitakis Department of Gastroenterology, Oncology and Hepatology, Erasme Hospital, “Université Libre de Bruxelles” (ULB). Brussels, Belgium
  • Celso Matos Department of Radiology, Erasme Hospital, “Université Libre de Bruxelles” (ULB). Brussels, Belgium
  • Pieter Demetter Department of Pathology, Erasme Hospital, “Université Libre de Bruxelles” (ULB). Brussels, Belgium
  • Pierre Eisendrath Department of Gastroenterology, Oncology and Hepatology, Erasme Hospital, “Université Libre de Bruxelles” (ULB). Brussels, Belgium
  • Emmanuel Toussaint Department of Gastroenterology and Oncology, Institut Bordet. Brussels, Belgium
  • Axel Benoit Hittelet Ambroise Paré Hospital. Mons, Belgium
  • Jacques Deviere Department of Gastroenterology, Oncology and Hepatology, Erasme Hospital, “Université Libre de Bruxelles” (ULB). Brussels, Belgium
  • Myriam Delhaye Department of Gastroenterology, Oncology and Hepatology, Erasme Hospital, “Université Libre de Bruxelles” (ULB). Brussels, Belgium
DOI: https://doi.org/10.6092/1590-8577/1355
Keywords: Biopsy, Fine-Needle, Endosonography, Pancreas, Tuberculosis

Abstract

Context Pancreatic/para-pancreatic tuberculosis is an extremely rare clinical entity even in endemic regions. It can present as a cystic or solid pancreatic mass mimicking pancreatic malignancy. There are no specific imaging criteria and the clinical symptoms remain vague. Therefore, most cases are diagnosed after surgical exploration for presumed pancreatic neoplasia. Case report We report five cases of pancreatic tuberculosis each time with a different clinical presentation, in an occidental country setting where the diagnosis was done by EUS guided FNA (EUS-FNA). Conclusion EUS-FNA is a safe and promising technique for the diagnosis of pancreatic/para-pancreatic tuberculosis, avoiding unnecessary surgery.

Image: Space-occupying lesion with cellular proliferation.

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Space-occupying lesion with cellular proliferation
Published
2013-05-10
How to Cite
VafaH., ArvanitakisM., MatosC., DemetterP., EisendrathP., ToussaintE., HitteletA., DeviereJ., & DelhayeM. (2013). Pancreatic Tuberculosis Diagnosed by EUS: One Disease, Many Faces. JOP. Journal of the Pancreas, 14(3), 256-260. https://doi.org/10.6092/1590-8577/1355
Issue
Vol 14 No 3 (2013): May - p. 221-303
Section
CASE SERIES

Copyright (c) 2014 Haydeh Vafa, Marianna Arvanitakis, Celso Matos, Pieter Demetter, Pierre Eisendrath, Emmanuel Toussaint, Axel Benoit Hittelet, Jacques Deviere, Myriam Delhaye

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