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J Korean Surg Soc. 2005 Jun;68(6):522-525. Korean. Case Report.
Lee HY , Kim SH , Park KJ , Kim YH , Lee JH , Roh MS .
Department of Surgery, Dong-A University College of Medicine, Busan, Korea. ksheun@dau.ac.kr
Department of Radiology, Dong-A University College of Medicine, Busan, Korea.
Department of Pathology, Dong-A University College of Medicine, Busan, Korea.
Abstract

Tuberculosis of the pancreas is a rare disorder. The clinical presentation of pancreatic tuberculosis include nonspecific symptoms such as fever, fatigue and weight loss. The radiological features mimic pancreatic malignancy or pancreatitis. So, the diagnosis of pancreatic tuberculosis is very difficult. A 62-year-old man was referred for pancreatic mass. Findings on preoperative imaging modalities were consistent with pancreatic carcinoma, and fine needle aspiration test indicated microcystic adenoma or carcinoma. Pylorus-preserving pancreaticoduodenectomy was done. Final diagnosis was pancreatic tuberculosis combined with microcystic adenoma. We conclude in that patients who have a mass in the pancreas, pancreatic tuberculosis should be considered, particularly in the developing country and immunosuppressed individuals.

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