Diagnosis and treatment of pancreatic tuberculosis

VernacularTitle:胰腺结核的诊断与治疗
Author: Wenlong ZHAI ; Jianwen YE ; Zhe FU ; Chuang ZHOU ; Longshuan ZHAO
Publication Type:Journal Article
Keywords: Tuberculosis,pancreas; Diagnosis; Therapy
From: Chinese Journal of Digestive Surgery 2015;14(5):429-430
CountryChina
Language:Chinese
Abstract: Pancreatic tuberculosis (PTB) is a rare,chronic,specific and infectious disease which is generally secondary to tuberculosis at the common sites of pancreas,and it has a high misdiagnosis rate due to the hidden onset and nonspecific symptoms of PTB.A patient with PTB was admitted to the First Affiliated Hospital of Zhengzhou University in June 2014.Before operation,the space-occupying lesions of the head of pancreas were detected by preoperative imaging examination,and the patient was regarded as with pancreatic cancer.Intraoperative exploration showed cystic duct involvement,and the granulomatous inflammation was detected by rapid pathological examination using frozen section technique,after that the patient received granuloma resection+cholecystectomy according to suspected PTB.The diagnosis of PTB was confirmed by postoperative pathological examination,and the patient received liver-protective and anti-tuberculosis treatments after discharge.