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Journal of Hepato-Biliary-Pancreatic Surgery

, Volume 9, Issue 4, pp 515–518 | Cite as

Pancreatic tuberculosis

  • Naoya Sanabe
  • Yoshito Ikematsu
  • Yoshiro Nishiwaki
  • Hideo Kida
  • Goh Murohisa
  • Takachika Ozawa
  • Shinichi Hasegawa
  • Taketoshi Okawada
  • Tatsuro Toritsuka
  • Shinji Waki

Abstract.

A 63-year-old Japanese man visited our institute with fever of unknown origin. Findings on preoperative imaging modalities were consistent with pancreatic carcinoma, but a positive tuberculin skin test indicated tuberculosis infection. Negative results for Mycobacterium DNA polymerase chain reaction from sputum and bone-marrow aspiration biopsy specimens ruled out pulmonary and miliary tuberculosis, respectively. Positron emission tomography (PET) with 2-[fluorine-18]-fluoro-2-deoxy-d-glucose (FDG) showed multiple labeled spots within the pancreas body and chest. Distal pancreatectomy was performed with a diagnosis of suspected pancreatic carcinoma, but the histological and microbiological diagnosis was Mycobacterium infection. A rare case of pancreatic tuberculosis evaluated by FDG PET is reported and discussed herein.

Key words Pancreas Tuberculosis FDG PET 

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Copyright information

© Springer-Verlag Tokyo 2002

Authors and Affiliations

  • Naoya Sanabe
    • 1
  • Yoshito Ikematsu
    • 2
  • Yoshiro Nishiwaki
    • 2
  • Hideo Kida
    • 2
  • Goh Murohisa
    • 3
  • Takachika Ozawa
    • 4
  • Shinichi Hasegawa
    • 5
  • Taketoshi Okawada
    • 5
  • Tatsuro Toritsuka
    • 6
  • Shinji Waki
    • 2
  1. 1. First Department of Surgery, Ryukyu University School of Medicine, Okinawa, JapanJP
  2. 2. Department of Surgery, Hamamatsu Medical Center, 328 Tomitsuka, Hamamatsu 432-8580, JapanJP
  3. 3. Department of Gastroenterology, Hamamatsu Medical Center, Hamamatsu, JapanJP
  4. 4. Department of Pathology, Hamamatsu Medical Center, Hamamatsu, JapanJP
  5. 5. Department of Radiology, Hamamatsu Medical Center, Hamamatsu, JapanJP
  6. 6. Positron Medical Center, Hamamatsu Medical Center, Hamamatsu, JapanJP

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