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Pancreatic Tuberculosis with a Pancreaticobiliary Fistula

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Abstract

Pancreatic tuberculosis (TB) is a rare condition that is sometimes difficult to differentiate from pancreatic cancer or other malignancies. A 75-year-old man was admitted to our hospital because of weight loss, fever, and diarrhea. Abdominal ultrasonography and computed tomography (CT) revealed a 3-cm mass in the pancreas head with abdominal lymphadenopathy. Endoscopic retrograde cholangiopancreatography did not show pancreatic duct stenosis or dilatation, but a pancreaticobiliary fistula was demonstrated. Cytological and bacteriological examinations of the pancreatic juice and bile were negative. Endoscopic ultrasonography-guided fine needle aspiration of the mass was not diagnostic. Colonoscopic features and biopsy specimens affirmed the diagnosis of TB, and treatment with antitubercular drugs was started. The pancreatic mass disappeared within 8 weeks and the pancreaticobiliary fistula resolved.

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Authors and Affiliations

  1. Department of Gastroenterology, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan

    Yousuke Nakai, Takeshi Tsujino, Hirofumi Kogure, Takashi Sasaki, Natsuyo Yamamoto, Naoki Sasahira, Hiroyuki Isayama, Minoru Tada & Masao Omata

  2. Department of Endoscopy and Endoscopic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan

    Takao Kawabe & Masao Omata

Authors
  1. Yousuke Nakai
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  2. Takeshi Tsujino
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  3. Takao Kawabe
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  4. Hirofumi Kogure
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  5. Takashi Sasaki
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  6. Natsuyo Yamamoto
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  7. Naoki Sasahira
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  8. Hiroyuki Isayama
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  9. Minoru Tada
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  10. Masao Omata
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Correspondence to Yousuke Nakai.

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Nakai, Y., Tsujino, T., Kawabe, T. et al. Pancreatic Tuberculosis with a Pancreaticobiliary Fistula. Dig Dis Sci 52, 1225–1228 (2007). https://doi.org/10.1007/s10620-006-9471-z

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  • DOI: https://doi.org/10.1007/s10620-006-9471-z

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