Diagnosis and management of isolated pancreatic tuberculosis: experience of 13 cases / 中国医学科学杂志(英文版)
Chinese Medical Sciences Journal
;
(4): 152-155, 2007.
Artigo
em Inglês
| WPRIM
| ID: wpr-243537
ABSTRACT
<p><b>OBJECTIVE</b>To analyze the diagnosis and treatment of pancreatic tuberculosis.</p><p><b>METHODS</b>Retrospectively reviewed and summarized 13 pancreatic tuberculosis patients' clinical information, presentation, diagnostic methods, therapeutic approaches, and prognosis from 1958 to 2004 at Peking Union Medical College Hospital.</p><p><b>RESULTS</b>All cases presented a wide series of symptoms, including fever in 6 cases, upper abdominal tenderness in 13, epigastric mass in 4, obstructive jaundice in 3, night sweat in 4, weight loss in 7, hypersplenotrophy and hypersplenism in 1, and being complicated with tuberculosis of other organs in 3. One case was diagnosed by clinical symptoms and biopsy of lymph node, and only received anti-tubercular treatment Others were diagnosed by intra-operative biopsy and anti-tubercular treatment, and got well without recurrent tuberculosis in pancreas and other organs during 6 months to 2 years of follow-up. The non-operative case presented extrahepatic portal hypertension.</p><p><b>CONCLUSIONS</b>Pancreatic tuberculosis may be considered in the patients with fever, abdominal tenderness, weight loss, and imaging evidence of regional pancreatic lesion. Efficacy of anti-tubercular agents and laparotomy for pancreatic tuberculosis is evident.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pancreatopatias
/
Terapêutica
/
Tuberculose
/
Estudos Retrospectivos
/
Diagnóstico
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
Limite:
Adulto
/
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Chinese Medical Sciences Journal
Ano de publicação:
2007
Tipo de documento:
Artigo
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