Pancreatic tuberculosis mimicking malignancy in an immunocompetent Individual

Tuberculosis of pancreas in an immunocompetent individual is rare even in endemic regions. We report here one such case where in a 53-year-old man presented with jaundice, weight loss and cervical lymphadenopathy. Base line liver functions were deranged. Imaging studies of abdomen and chest revealed a pancreatic mass and miliary filtrates. Fine needle aspiration cytology of cervical lymph nodes was suggestive of tuberculosis. In view of deranged baseline liver functions the patient was started on a modified daily self-supervised antituberculosis treatment and oral corticosteroid treatment made an uneventful recovery with complete resolution of mass lesion.