Tuberculose gastrointestinal (duodeno) associada à pseudotumor pancreático e infiltrado pulmonar micronodular: relato de caso / Gastrointestinal (duodenum) tuberculosis associated with pancreatic pseudotumor and micronodular pulmonary infiltrate: a case report

RESUMO

Relato de caso de um paciente admitido no Hospital Universitário Clementino Fraga Filho com suspeita de neoplasia pancreática, sem diagnóstico histopatológico, onde foi realizada biópsia duodenal e Tomografia Computadorizada (TC) de tórax e abdome, tendo como diagnóstico presuntivo final tuberculose pancreática com acometimento pulmonar (tuberculose miliar) e confirmado de tuberculose duodenal. No presente manuscrito abordaremos os principais aspectos de tuberculose pancreática, uma entidade rara e com poucos casos descritos na literatura. Discutiremos a importância de exclusão de algumas patologias na suspeita de neoplasia pancreática. (AU)

ABSTRACT

We present the case report of a patient admitted to the Hospital Universitário Clementino Fraga Filho with suspected pancreatic neoplasm, with no histopathological diagnosis. A duodenal biopsy and CT scan of the thorax and abdomen were previously performed and the final presumptive diagnosis was pancreatic tuberculosis with pulmonary (Miliary tuberculosis) and confirmed duodenal involvement. In this manuscript we will discuss the main aspects of pancreatic tuberculosis, a rare entity with few cases described in the literature. We will discuss the importance of excluding some pathologies in the suspicion of pancreatic neoplasm. (AU)