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Endoscopic ultrasonographic diagnosis of pancreatic tuberculosis in immunocompetent patients—A case series from eastern India

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Abstract

Tubercular involvement of pancreas is rare. It presents as a focal lesion of pancreas on cross sectional imaging. Endosonography with fine-needle aspiration (EUS-FNA) is crucial for a timely presurgical diagnosis. A retrospective review was conducted on 117 cases of pancreatic focal mass undergoing EUS-FNA at our institution over a period of 3 years, and 5 cases with pancreatic tuberculosis (TB) were detected. The clinical presentation varied from obstructive jaundice, recurrent acute pancreatitis to incidentaloma of pancreas. All patients received antitubercular therapy and were followed up for at least 6 months. In conclusion, pancreatic tuberculosis is a differential of a pancreatic focal lesion and EUS-FNA is the method for diagnosis of this condition that may obviate surgical exploration.

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Authors and Affiliations

  1. Division of Gastroenterology, School of Digestive and Liver Diseases, IPGMER, Kolkata, 700 020, India

    Debajyoti Chakraborty & Debashis Misra

  2. Division of Pathology, School of Digestive and Liver Diseases, IPGMER, Kolkata, 700 020, India

    Ranajoy Ghosh & Aniket Halder

  3. Division of Hepatology, School of Digestive and Liver Diseases, IPGMER, Kolkata, 700 020, India

    Dipankar Mondal

Authors
  1. Debajyoti Chakraborty
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  2. Ranajoy Ghosh
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  3. Aniket Halder
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  4. Dipankar Mondal
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  5. Debashis Misra
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Contributions

Study concept and design was conceived by Debashis Misra and Debajyoti Chakraborty. Debajyoti Chakraborty, Dipankar Mondal, and Debashis Misra collected the data, managed the patients, and prepared the manuscript. Ranajoy Ghosh and Aniket Halder provided the pathology input and helped in diagnosis based on microscopic features. Revision of manuscript for intellectual content was done by Debashis Misra.

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Correspondence to Debashis Misra.

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DC, RG, AH, DM, and DM  declare that they have no conflict of interest.

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The authors are solely responsible for the data and the contents of the paper. In no way, the Honorary Editor-in-Chief, Editorial Board Members, the Indian Society of Gastroenterology or the printer/publishers are responsible for the results/findings and content of this article.

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Chakraborty, D., Ghosh, R., Halder, A. et al. Endoscopic ultrasonographic diagnosis of pancreatic tuberculosis in immunocompetent patients—A case series from eastern India. Indian J Gastroenterol 40, 636–640 (2021). https://doi.org/10.1007/s12664-021-01171-x

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  • DOI: https://doi.org/10.1007/s12664-021-01171-x

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