Clinics in diagnostic imaging (117)

Lynette L.S. Teo, S. K. Venkatesh, K. Y. Ho

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

A 76-year-old woman presented with a five-day history of fever and abdominal pain. Her urine culture grew Candida albicans. She was treated with intravenous antibiotics, as having a urinary tract infection, but her fever persisted. Computed tomography of the abdomen showed a cystic mass at the pancreatic head and uncinate process with peripancreatic lymph nodes. Given the patient's high operative risk and her clinical picture favouring sepsis, endoscopic ultrasonographical fine-needle aspiration (EUS-FNA) which was performed, revealed pus with acid-fast bacilli seen in the cell block material. The patient was started on antituberculous medication with rapid improvement of symptoms. Pancreatic tuberculosis (TB) is rare and can mimic pancreatic carcinoma both clinically and radiologically. Histological diagnosis is crucial before administration of appropriate therapy. The usefulness of EUS-FNA and its pitfalls, as well as the other radiological modalities for the evaluation and assessment of pancreatic TB are discussed.

Original languageEnglish (US)
Pages (from-to)687-692
Number of pages6
JournalSingapore Medical Journal
Volume48
Issue number7
StatePublished - Jul 1 2007

Keywords

  • Endoscopic ultrasonography
  • Fine-needle biopsy
  • Pancreas
  • Spiral computed tomography
  • Tuberculosis

ASJC Scopus subject areas

  • Medicine(all)

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    Teo, L. L. S., Venkatesh, S. K., & Ho, K. Y. (2007). Clinics in diagnostic imaging (117). Singapore Medical Journal, 48(7), 687-692.