Work

Pancreatic Tuberculosis Complicated With Duodenal Bulb Fistula Mimics Walled‐Off Necrosis: A Case Report

Year: 2026

Type: article

Abstract: We described a female patient whose abdominal imaging revealed a suspicious malignant mass in the neck of the pancreas, accompanied by signs of pancreatitis and walled-off necrosis. The diagnosis of granulomatous inflammation was ultimately established via endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB), with subsequent special staining and polymerase chain reaction confirming pancreatic tuberculosis. This case underscores the value of EUS-FNB in obtaining high-quality tissue samples, accurately targeting pancreatic lesions, avoiding unnecessary surgery, and enabling prompt and appropriate treatment planning. Pancreatic histopathological image: HE stain, ×40.

Source: Journal of Digestive Diseases

DOI: 10.1111/1751-2980.70057

Authors: Yao Yan, Hui Fang Xiong

Institutions: Nanchang University, First Affiliated Hospital of Jiangxi Medical College

Language: English

Topic: Diagnosis and treatment of tuberculosis

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

Funder: Nanchang University