Pancreatic Tuberculosis: Resolution of Pancreatic Pseudocyst and Loculated Ascites Under Tuberculosis Therapy

TL;DR

A rare case of pancreatic tuberculosis was successfully treated, resolving symptoms and complications typically seen in pancreatitis.

Contribution

This case highlights the importance of considering tuberculosis in diagnosing pancreatic pseudocyst and ascites.

Findings

The patient's symptoms and imaging findings initially suggested pancreatitis but resolved with tuberculosis therapy.

Follow-up imaging showed complete resolution of pseudocyst and ascites after antituberculosis treatment.

Early diagnosis of pancreatic tuberculosis led to successful treatment outcomes.

Abstract

Pancreatic tuberculosis is a rare disease. It mimics both benign and malignant conditions of the pancreas. We describe the case of a man who presented with repetitive epigastric pain and elevated pancreatic enzymes, leading to a presumptive diagnosis of alcohol-induced pancreatitis. Imaging revealed pancreatic pseudocyst, omental thickening, multiple loculated ascites, and bilateral pleural effusions. Despite supportive management for pancreatitis, the patient's symptoms worsened. Further evaluation raised the suspicion of tuberculosis. He was started on antituberculosis therapy. There was complete resolution of his symptoms, pseudocyst and ascites on follow-up imaging. Early suspicion and management of pancreatic tuberculosis may lead to excellent outcomes.

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