Veerabadran P, Sasnur P, Subramanian S, Marappagounder S. Pancreatic tuberculosis-abdominal tuberculosis presenting as pancreatic abscesses and colonic perforation. World J Gastroenterol 2007; 13(3): 478-479 [PMID: 17230624 DOI: 10.3748/wjg.v13.i3.478]
Corresponding Author of This Article
Premanayagam Veerabadran, MS, Department of Surgical Gastroenterology, Sri Ramachandra Medical College and Research Institute, 67, Ramasamy salai, K K Nagar, Chennai 600078, Tamilnadu, India. premnayagam@lycos.com
Article-Type of This Article
Case Report
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Premanayagam Veerabadran, Prasad Sasnur, Department of Surgical Gastroenterology, Sri Ramachandra Medical College and Research Institute, Porur, Chennai, Tamilnadu, India
Sankar Subramanian, Department of Surgical Gastroenterology, Sri Ramachandra Medical College and Research Institute, Porur, Chennai, Tamilnadu, India
Subramanian Marappagounder, Department of Surgical Gastroenterology, Sri Ramachandra Medical College and Research Institute, Porur, Chennai, Tamilnadu, India
Author contributions: All authors contributed equally to the work.
Correspondence to: Premanayagam Veerabadran, MS, Department of Surgical Gastroenterology, Sri Ramachandra Medical College and Research Institute, 67, Ramasamy salai, K K Nagar, Chennai 600078, Tamilnadu, India. premnayagam@lycos.com
Telephone: +91-44-24838292 Fax: +91-44-24767008
Received: August 18, 2006 Revised: October 21, 2006 Accepted: December 7, 2006 Published online: January 21, 2007
Abstract
Isolated pancreatic tuberculosis is an extremely rare condition, more so in an immunocompetent individual. Its presentation as pancreatic abscesses with colonic perforation has not been reported so far. This condition poses difficulties in clinical diagnoses. Herein we report a case who was operated in another hospital for pancreatic abscesses, and referred to our institution later when he developed fecal peritonitis due to colonic perforation. Re-laparotomy, resection and exteriorisation of the colon were done. Acid fast bacilli was seen in the histopathological examination of the resected colon. The patient responded remarkably to anti-tuberculous therapy and two sittings of debridement. Post procedure the patient developed pancreatic fistula, which was managed successfully with stenting. Pancreatic tuberculosis should be considered as a differential diagnosis when pancreatitis is atypical.
