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Unexpected outcome (positive or negative) including adverse drug reactions
CASE REPORT
Tuberculosis presenting as a pancreatic cystic neoplasm
  1. Niels van der Naald1,
  2. Anton F Engelsman1,
  3. Marc R W Engelbrecht2,
  4. Joanne Verheij3,
  5. Marc G Besselink1,
  6. Olivier R Busch1 and
  7. Thomas van Gulik1
  1. 1 Department of Surgery, Amsterdam UMC, University of Amsterdam, The Netherlands
  2. 2 Department of Radiology, Amsterdam UMC, University of Amsterdam, The Netherlands
  3. 3 Department of Pathology, Amsterdam UMC, University of Amsterdam, The Netherlands
  1. Correspondence to Professor Thomas van Gulik, t.m.vangulik{at}amc.nl

Abstract

A 33-year-old Thai born woman was referred to our tertiary referral hospital with back and epigastric pain. Investigations included abdominal ultrasound and CT scan of the abdomen which demonstrated a 3 cm cystic lesion in the head of the pancreas, most likely a mucinous cystadenoma. Because of its malignant potential resection was advised. During surgical exploration, the tumour appeared unresectable, due to involvement of the common hepatic artery. PCR on biopsy revealed Mycobacterium tuberculosis. The patient was referred to an infectious disease specialist, and a full recovery was achieved after 6 months of antimicrobials.

  • global health
  • tb and other respiratory infections
  • pancreatic cancer
  • gastrointestinal surgery

https://doi.org/10.1136/bcr-2018-225983

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    Footnotes

    • Contributors NvdN and ME wrote the first draft under supervision of TvG. ME commented on background of imaging, JV commented on histopathology and PCR. MB and OB commentated on the whole article and provided insights both in content and style.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.