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CASE REPORT
Year : 2015  |  Volume : 3  |  Issue : 1  |  Page : 20-22

Pancreatic tuberculous abscess mimicking as cystic neoplasm: A rare initial manifestation of AIDS-defining illness


1 Department of Radiodiagnosis, Kasturba Medical College, Manipal University, Manipal, Karnataka, India
2 Department of Pathology, Yenepoya Medical College, Mangalore, Karnataka, India
3 Department of Radiodiagnosis, Kasturba Medical College, Manipal University, Mangalore, Karnataka, India

Correspondence Address:
Chanabasappa V Chavadi
Flat No C-1-13 (Third Floor), KMC, Staff Quarters, Light House Hill Road, Mangalore - 575 001, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2321-9157.169175

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A pancreatic tuberculous abscess is extremely rare, considered to be an AIDS-defining illness in HIV-positive patients. It is even rare to present as an initial manifestation of AIDS. We present a case that presented with epigastric pain, fever, and reduced appetite. The cystic pancreatic lesion was identified and computed tomography-guided fine needle aspiration proved it to be a tuberculous abscess, confirmed by demonstration of acid fact bacilli in the pus aspirated. Although rare, it must be considered in the differentials in HIV-positive patients and can be confirmed by minimally invasive image-guided aspiration with microbiological or histopathological evaluation. Etiopathogenesis, presentation, and review of the literature is been summarized.


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