A Case of Resected Solitary Pancreatic Tuberculosis

Takashi Inoue, Yukio Aomatsu, Tsunehiro Kobayashi, Tetsuya Tanaka, Hirofumi Kuwata and Yoshiyuki Nakajima*

Department of Surgery, Matsubara Municipal Hospital
Department of Surgery, Nara Medical University*

We report a case of resected solitary pancreatic tuberculosis. A 55-year-old woman admitted for a cystic lesion in the lateral segment of the liver was found in computed tomography (CT) and magnetic resonance imaging (MRI) to have a binocular cystic lesion of the pancreatic body. Based on a diagnosis of a mucinous cystic tumor of the pancreas, we excised the pancreatic cyst and sampled neighboring lymph nodes. Microscopic findings of the cystic lesion and lymph nodes showed epitheloid granuloma with caseous necrosis and giant Langerhans cells, which we definitively diagnosed as solitary pancreatic tuberculosis. She took four tuberculostatics for two months and two tuberculostatics for one year, and has shown no recurrence of pancreatic or systemic tuberculosis.

Key words
solitary pancreatic tuberculosis

Reprint requests
Takashi Inoue Department of Surgery, Nara Municipal Hospital
1-30-1 Hiramatu, Nara, 631-0846 JAPAN

Accepted
January 30, 2008

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