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Tuberculose du pancréas révélée par des vomissements : à propos d’un cas

  • T. Hammada
  • A. Khider
  • F. Boutra
  • M. Boumendjel
  • A. Bennani
  • J. Z. Bechiri
  • B. Teniou
  • M. S. Chobar
Cas Clinique / Case Report
  • 18 Downloads

Résumé

Introduction

L’infection tuberculeuse du pancréas est rare, le diagnostic est très difficile à cause de la non spécificité des examens morphologiques.

Observation

Nous rapportons l’observation d’un homme de 54 ans, immunocompétent présentant une tuberculose pancréatique. Le diagnostic était révélé par des vomissements post prandiaux. Le diagnostic de certitude était posé par la mise en évidence du follicule de Koester sur les biopsies pancréatiques peropératoires. L’évolution était favorable après chimiothérapie antituberculeuse.

Conclusion

Le diagnostic de tuberculose du pancréas nécessite un niveau élevé de présomption, on doit y penser devant une masse du pancréas chez un patient, vivant dans un pays d’endémie.

Mots clés

Pancréas Tuberculose 

Pancreatic tuberculosis revealed by vomiting: a case report

Abstract

Introduction

Tuberculous infection of the pancreas is rare, the diagnosis is very difficult because of the nonspecificity of the morphological examinations.

Case

We report a 54 year old male immunocompetent with pancreatic tuberculosis. Diagnosis was revealed by post prandial vomiting. Definitive diagnosis was obtained by highlighting follicle Koester on pancreatic biopsies per operative. Evolution was favorable after antituberculosis chemotherapy.

Conclusion

The diagnosis of pancreatic tuberculosis requires a high level of presumption, we must thinking about in front of a pancreatic mass in a patient living in an endemic country.

Keywords

Pancreas Tuberculosis 

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Copyright information

© Springer-Verlag France 2015

Authors and Affiliations

  • T. Hammada
    • 1
  • A. Khider
    • 2
  • F. Boutra
    • 1
  • M. Boumendjel
    • 1
  • A. Bennani
    • 1
  • J. Z. Bechiri
    • 1
  • B. Teniou
    • 3
  • M. S. Chobar
    • 4
  1. 1.Service d’hépato-gastroenterologieCHU Dr BenbadisConstantineAlgérie
  2. 2.Laboratoire de microbiologieCHU Dr BenbadisConstantineAlgérie
  3. 3.Service d’imagerieCHU Dr BenbadisConstantineAlgérie
  4. 4.Service de chirurgie générale ACHU Dr BenbadisConstantineAlgérie

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