This case highlights pancreatic tail and splenic hilum tuberculosis in a young patient, suggesting improved detection methods.
Abdominal tuberculosis (TB) is a rare extrapulmonary manifestation, with pancreatic and splenic involvement being extremely uncommon and often misdiagnosed as malignancy. We present the case of a 22-year-old female with chronic epigastric pain, weight loss, and fever. Imaging revealed a necrotic lymph node mass near the pancreatic tail and splenic hilum with splenic infarction. Fine-needle aspiration cytology confirmed TB, and the patient responded well to anti-tubercular therapy, avoiding surgical intervention. This case underscores the importance of considering TB in the differential diagnosis of upper abdominal masses in endemic regions to prevent unnecessary surgeries.
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Rawat et al. (2025) studied this question.
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