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The Canadian Association of Gastroenterology (CAG) Canadian Association for the Study of the Liver (CASL)

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Brief Communication January/February 1997, Volume 11 Issue 1: 41-43

Pancreaticoduodenal tuberculosis simulating metastatic ovarian carcinoma

AH Zalev | JS Sacks | RE Warren

A patient from Thailand presented with symptoms suggestive of peptic ulceration. Radiology showed an ulcerated duodenal stricture, a pancreaticoduodenal mass and extensive retroperitoneal lymphadenopathy suggestive of metastatic carcinoma. Tuberculosis was diagnosed only at laparotomy. The incidence of tuberculosis is increasing, and alimentary tuberculosis should be considered in patients from populations at risk presenting with obscure abdominal complaints or unexplained radiologic findings.

Duodenal strictures | Lymphadenopathy | Pancreas | Retroperitoneal metastases | Tuberculosis
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