Pancreatic Tuberculosis With Duodenal Fistula Presenting as Life-Threatening Gastrointestinal Bleeding

Pancreatic tuberculosis (TB) warrants heightened suspicion in individuals with pancreatic lesions and risk factors such as HIV, organ transplantation, or pertinent immigration history. We present a 38-year-old man who presented with hemodynamically unstable gastrointestinal bleeding. He was found to...

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Bibliographic Details
Published in:ACG case reports journal 2024, Vol.11 (3), p.e01318-e01318
Main Authors: Zaffar, Duha, Ranabhat, Chet Bahadur, Ismail, Abdellatif, Gogna, Gurdeep, Hossain, Sarah, Rodriguez, Gracia Viana, Disha, Sharma, Raymond, Kim
Format: Report
Language:English
Online Access:Get full text
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Summary:Pancreatic tuberculosis (TB) warrants heightened suspicion in individuals with pancreatic lesions and risk factors such as HIV, organ transplantation, or pertinent immigration history. We present a 38-year-old man who presented with hemodynamically unstable gastrointestinal bleeding. He was found to have pancreatic TB complicated by a duodenal ulcer with fistula. Following 1 month of antitubercular therapy, he experienced complete resolution of symptoms, healing of the duodenal ulcer, closure of the fistulous tract, and a decrease in the size of the pancreatic lesion as observed on imaging. Our case highlights the importance of early diagnosis and treatment of pancreatic TB.
ISSN:2326-3253
2326-3253
DOI:10.14309/crj.0000000000001318