Pancreatic Tuberculosis-Report on a Rare Presentation of a Not So Rare Disease

Introduction: Pancreatic and peripancreatic tuberculosis is such a rare entity that most of our learning about the disease is mainly from individual case reports and few case studies that have been published worldwide. Due to its vague clinical presentation, subtle biochemical abnormalities, unusual radiological findings and low index of suspicion, it is often misdiagnosed as malignancy and the patient lands up in a surgery. Ultrasonography/computed tomography/endosonography-guided biopsy is the recommended diagnostic technique and the disease is very well treatable with regular anti-tubercular chemotherapy. Case outline: We report a case of an adult female with no previous history of tuberculosis and were immunocompetent. Diagnosis was obtained by abdominal ultrasound guided FNAC that was suggestive of a tubercular lesion. The patient was then started on anti-tubercular therapy following which she became asymptomatic. Conclusion: In cases of suspicious pancreatic mass lesions, possibility of pancreatic tuberculosis should be kept in mind and to rule it out, a histopathological or microbiological diagnosis should be made.