TITLE:
Pediatric Pancreatic Lymphadenitis Tuberculosis Causing Inferior Vena Cava Thrombosis in Syria
AUTHORS:
Mhd Kutaiba Albuni, Ruba Zuhri Yafi, Bana Sabbagh, Mazen Al Moubarak, Lina Khouri
KEYWORDS:
Pancreas, Tuberculosis, Thrombosis, Inferior Vena Cava, Case Report
JOURNAL NAME:
Journal of Tuberculosis Research,
Vol.9 No.3,
July
8,
2021
ABSTRACT: Background: Pancreatic tuberculosis (TB)
is very rare, mostly due to the antibacterial effects of the pancreatic
enzymes. The association of thrombosis and tuberculosis has been reported
but that of inferior vena cava (IVC) thrombosis and pancreatic tuberculosis is
extremely rare and has only been reported once. Case presentation: A case of pancreatic Tuberculosis and IVC thrombosis presented with
constitutional symptoms. Ultrasonography and computerized tomography showed a
lesion in the head of the pancreas and a large lymph mass. Magnetic resonance
imaging (MRI) of (IVC) showed thrombosis in the IVC. Histological examination
revealed necrotizing granulomas after a laparotomy. The patient received
antituberculosis chemotherapy and low molecular weight heparin. Conclusion: Pancreatic TB is a challenge to diagnose especially in Resource-poor
countries, which might lead to delay in treatment and worse complications.