ACASE OF DUODENAL TUBERCULOSIS WHICH ISFOUND AS MASS ADJOINING PANCREATIC HEAD

Abstract

A39-year-old man was admitted to our hospital for upper abdominal pain. Abdominaultrasonography, CT and MRI studies demonstrated the presence of a mass which adjoinpancreatic head. Similary, duodenoscopy showed an ulcer in the second portion of the duodEnum. Biopsied specimen from the ulcer bed revealed a caseating granuloma containin, Langhans'giant cells. Ziehl-Neelsen positive tubercle bacilli were recognized in the biopsiespecimen from the ulcer bed. The patient was diagnosed to have tuberculosis of the duodenumWe think the mass was lymph node swelling with granuloma of tuberculosis.