Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Peripancreatic Tuberculous Lymphadenitis with Biliary Obstruction Diagnosed by Endoscopic Ultrasound-guided Fine-needle Aspiration Biopsy
Reiko YamadaHiroyuki InoueNaohiko YoshizawaTakashi KitadeShunsuke TanoTakashi SakunoTetsuro HaradaMisaki NakamuraMasaki KatsuraharaYasuhiko HamadaKyosuke TanakaNoriyuki HorikiYoshiyuki Takei
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JOURNALS OPEN ACCESS

2016 Volume 55 Issue 8 Pages 919-923

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Abstract

A 57-year-old man with a history of tuberculosis (TB) was found to have a pancreatic head mass, accompanied by stenosis of the common bile duct. Due to the inherent difficulty in differentiating pancreatic carcinoma from an inflammatory mass, endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNAB) was thus performed. The pathological findings confirmed granuloma with caseous necrosis, and the results of the QuantiFERON TB2G test were positive. Accordingly, the patient was diagnosed with peripancreatic TB and thereafter was successfully treated with anti-TB therapy. Based on the findings of this case, we conclude that EUS-FNAB is a useful modality for the diagnosis of pancreatic TB.

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© 2016 by The Japanese Society of Internal Medicine
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