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©2007 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Jan 21, 2007; 13(3): 474-477
Published online Jan 21, 2007. doi: 10.3748/wjg.v13.i3.474
Published online Jan 21, 2007. doi: 10.3748/wjg.v13.i3.474
Diagnosis by endoscopic ultrasound guided fine needle aspiration of tuberculous lymphadenitis involving the peripancreatic lymph nodes: A case report
Joseph D Boujaoude, Khalil Honein, Cesar Yaghi, Raymond Sayegh, Department of Gastroenterology, Hotel-Dieu de France hospital, Saint-Joseph University, Beirut, Lebanon
Claude Ghora, Gerard Abadjian, Department of Pathology, Hotel-Dieu de France hospital, Saint-Joseph University, Beirut, Lebanon
Author contributions: All authors contributed equally to the work.
Correspondence to: Joseph D Boujaoude, MD, Department of Gastroenterology, Hotel-Dieu de France Hospital, Saint-Joseph University, Beirut, Lebanon. jbouj@hotmail.com
Telephone: +961-3-704890 Fax: +961-1-615295
Received: February 7, 2006
Revised: April 5, 2006
Accepted: July 7, 2006
Published online: January 21, 2007
Revised: April 5, 2006
Accepted: July 7, 2006
Published online: January 21, 2007
Abstract
Pancreatic tuberculosis is an extremely rare form of extrapulmonary disease. The diagnosis preoperatively is difficult because clinical, laboratory and radiologic findings are nonspecific. Published data indicate that these lesions mimic cystic neoplasms of the pancreas and the confirmation of clinical suspicion could only be obtained by an open surgical biopsy. Recently, fine needle aspiration cytology has been shown to be a safe, reliable and cost-effective alternative. We report a new case of a peripancreatic tuberculosis in a 52 year old woman and review the relevant literature, paying special attention to the usefulness of endoscopic ultrasound guided-fine needle aspiration in the diagnosis of abdominal tuberculosis.
Keywords: EUS guided-FNA, Pancreatic, Tuberculosis