Tubercular Pancreatic Abscess Presenting as Fever and Cystic Pancreatic Lesion with Endoscopic Management

摘要

Isolated pancreatic tuberculosis is a rare presentation of tubercular infection. There are few reported cases of pancreatic tuberculosis diagnosed by endoscopic ultrasound with fine-needle aspiration (EUS FNA) [1-5], though EUS is often used in the evaluation of pancreatic cystic lesions [6]. We present a case of a tubercular pancreatic abscess presenting as a cystic lesion in a patient with undiagnosed immunodeficiency. The abscess was aspirated by EUS FNA and treated with endoscopic drainage and anti-mycobacterial medications.