Obstructive jaundice due to isolated tuberculosis of the pancreas: endoscopic treatment instead of surgery?

• The optimal treatment for relieving biliary obstruction due to isolated pancreatic tuberculosis has not so far been defined, and most previously reported patients were treated surgically. We describe a 17-year-old, immunocompetent girl who was admitted with obstructive jaundice caused by a tuberculous mass in the head of the pancreas. Antituberculous therapy alone failed to alleviate the jaundice, and she was therefore treated by stent insertion and, subsequently, balloon dilation of the common bile duct stricture. At follow-up 5 years later, magnetic resonance cholangiopancreatography showed no evidence of stricture in the common bile duct.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)

Nyckelord

Adolescent

Antitubercular Agents

therapeutic use

Balloon Dilatation

Cholangiopancreatography

Endoscopic Retrograde

Cholangiopancreatography

Magnetic Resonance

Common Bile Duct

pathology

Constriction

Pathologic

Female

Humans

Jaundice

Obstructive

etiology

therapy

Pancreatic Diseases

complications

microbiology

Stents

Tuberculosis

complications

Publikations- och innehållstyp

ref (ämneskategori)

art (ämneskategori)