Varun Sarodaya, is an MBBS Graduate from MGM University of Health Sciences, Mumbai, India. He wishes to pursue Surgical Training. He is highly inclined towards Gastrointestinal Surgical Oncology and is been working towards it. He is the first Undergraduate whose application got accepted for Clinical Attachment at Tata Memorial Hospital, Mumbai (India’s Best Oncology Centre). He is associated with various NGOs involved in sharing awareness regarding cancer. He has presented a few posters at the national level and has a couple of case reports to his name.
Tuberculosis (TB) is a chronic bacterial infection, commonly seen in developing countries. It can affect any part of the body. Necrotising granulomas in the lung is the most common presentation, however extrapulmonary tuberculosis accounts up to 10- 30% of the cases. Abdominal tuberculosis (TB) is the sixth most common location of extrapulmonary TB involvement. Pancreatic and peripancreatic tuberculosis is difficult to diagnose and often misdiagnosed as pancreatic carcinoma due to non- specific symptoms and similar tissue density on imaging. We present a case of Isolated Peripancreatic Tuberculous Lymphadenitis, its atypical presentation, diagnostic approach, and treatment aspects.rnCase Description: A 17- yr old male presented to us with complaints of abdominal pain, generalised pruritus and decreased appetite for 2 months. Clinical examination was unremarkable; there were no lymph nodes in the neck, palpable mass in the abdomen or ascites. He had undergone an ultrasonogram of the abdomen in a hospital outside, which showed a mass in the head of the pancreas with distended gall bladder. CT scan of the abdomen revealed an ill-defined, heterogeneously enhancing mass with few necrotic and cystic areas epicentered in the region of hepatoduodenal ligament, completely encasing and compressing the major structures of the porta hepatis. His CA 19-9 levels were within normal limits. Hence, we performed an Endoscopy ultrasound- guided Fine-needle aspiration cytology (EUS-FNA) which showed necrotising granular inflammation of tuberculous aetiology. After confirming a diagnosis of pancreatic tuberculosis, he was started on antitubercular therapy to which he responded well and recovered completely within 9 months.