Pediatric Pancreatic Lymphadenitis Tuberculosis Causing Inferior Vena Cava Thrombosis in Syria  

作　　者：Mhd Kutaiba Albuni Ruba Zuhri Yafi Bana Sabbagh Mazen Al Moubarak Lina Khouri Mhd Kutaiba Albuni;Ruba Zuhri Yafi;Bana Sabbagh;Mazen Al Moubarak;Lina Khouri(Department of Internal Medicine, Al-Mouwasat University Hospital, Al Mazzeh, Damascus, Syria;Faculty of Medicine, Damascus University, Damascus, Syria;Department of Surgery, Damascus Hospital, Damascus, Syria;Department of Pediatrics, Faculty of Medicine, Damascus University, Damascus, Syria)

机构地区：[1]Department of Internal Medicine, Al-Mouwasat University Hospital, Al Mazzeh, Damascus, Syria [2]Faculty of Medicine, Damascus University, Damascus, Syria [3]Department of Surgery, Damascus Hospital, Damascus, Syria [4]Department of Pediatrics, Faculty of Medicine, Damascus University, Damascus, Syria

出　　处：《Journal of Tuberculosis Research》2021年第3期117-123,共7页结核病研究（英文）

摘　　要：</span><b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:Verdana;"></b></span><b> </b><span style="font-family:Verdana;">Pancreatic tuberculosis (TB) is very rare, mostly due to the antibacterial effects of the pancreatic enzymes. The association of thrombosis and tuberculosis ha</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">s</span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;"> been reported but that of inferior vena cava (IVC) thrombosis and pancreatic tuberculosis is extremely rare and has only been reported once. <b></span><b><span style="font-family:Verdana;">Case presentation:</span></b><span style="font-family:Verdana;"></b></span><b> </b><span style="font-family:Verdana;">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. <b></span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"></b></span><b> </b><span style="font-family:Verdana;">Pancreatic TB is a challenge to diagnose especially in Resource-poor countries, which might lead to delay in treatment </span></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">and worse complications.</span><b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:Verdana;"></b></span><b> </b><span style="font-family:Verdana;">Pancreatic tuberculosis (TB) is very rare, mostly due to the antibacterial effects of the pancreatic enzymes. The association of thrombosis and tuberculosis ha</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">s</span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;"> been reported but that of inferior vena cava (IVC) thrombosis and pancreatic tuberculosis is extremely rare and has only been reported once. <b></span><b><span style="font-family:Verdana;">Case presentation:</span></b><span style="font-family:Verdana;"></b></span><b> </b><span style="font-family:Verdana;">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. <b></span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"></b></span><b> </b><span style="font-family:Verdana;">Pancreatic TB is a challenge to diagnose especially in Resource-poor countries, which might lead to delay in treatment </span></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">and worse complications.

关 键 词：PANCREAS TUBERCULOSIS THROMBOSIS Inferior Vena Cava Case Report 

分 类 号：O17[理学—数学]