Pancreatic tuberculosis

Pancreatic tuberculosis Pancreatic tuberculosis is a chronic, specific infectious disease of the pancreas that is clinically rare and is often secondary to tuberculosis in other parts of the body. Pancreatic tuberculosis is similar to chronic pancreatic inflammation, with recurrent episodes of right upper quadrant pain, and increased eating to the lower back. There is an increase in urinary amylase, combined with a history of drinking and chronic pancreatitis. basic knowledge The proportion of illness: 0.0005% Susceptible people: no special people Mode of infection: non-infectious Complications: intestinal obstruction pancreatic pseudocyst

Pancreatic tuberculosis

May be associated with disease trauma and surgery, metabolic disorders, nutritional disorders, genetic factors, and endocrine abnormalities.

Pancreatic tuberculosis prevention

1. Actively prevent and treat related diseases. Biliary diseases are common and frequently-occurring diseases in the elderly. Active prevention and treatment of biliary diseases is an important measure to prevent chronic pancreatitis in the elderly. In addition, diseases related to the onset of this disease, such as hyperparathyroidism and hyperlipidemia, must also be actively prevented.

2. Actively and thoroughly treat acute pancreatitis. A large number of patients with chronic pancreatitis in the elderly have a history of acute pancreatitis. It is speculated that the onset of this disease may be related to the failure to completely cure acute pancreatitis. Therefore, people with acute pancreatitis must be actively treated and completely cured to avoid leaving behind.

3. Do not drink alcohol or drink less. People who have been drinking alcohol for a long time are prone to chronic alcoholism. Alcoholism is one of the important causes of chronic pancreatitis. Therefore, from the beginning of youth, it should be a good habit of not drinking alcohol or just drinking a small amount. If you have chronic pancreatitis, in order to prevent the disease from developing, you must completely stop drinking.

4. Have a diet. Taking care to prevent overeating is very important to prevent this disease. At the same time, the elderly should be light, eat less spicy and sweet, alcohol and thick taste, in order to prevent the disease caused by intestinal heat.

5. Feel the mood and feel comfortable. The elderly should avoid bad mental stimuli such as sorrow and anger, and if they are happy, the air is fluent and the blood circulation can prevent the disease.

Pancreatic tuberculosis complications Complications, intestinal obstruction, pancreatic pseudocyst

Pseudocysts, biliary or duodenal obstruction, splenic vein thrombosis.

Pancreatic tuberculosis symptoms Common symptoms Night sweats, abdominal pain, low heat, weight loss, jaundice

(1) Similar to the symptoms of chronic pancreatitis: there is repeated episodes of right middle upper abdominal pain, and the food is aggravated and released to the lower back. There is an increase in urinary amylase, combined with a history of drinking and chronic pancreatitis.

(2) Symptoms of tuberculosis poisoning: fatigue, fever and night sweats.

(3) Similar to pancreatic cancer: abdominal pain, abdominal mass, weight loss, anemia, jaundice.

Pancreatic tuberculosis examination

1. Pathological histological examination of puncture aspirate guided by B-ultrasound in the mass is helpful for diagnosis and can identify pancreatic malignant tumors.

2, endoscopic retrograde cholangiopancreatography (ERCP) can be seen in the lower common bile duct stenosis and pancreatic duct dilatation, pancreatic cancer and ampullary carcinoma, early invasion of the common bile duct showed a rat tail sign, double tube sign.

Pancreatic tuberculosis diagnosis

diagnosis

Diagnosis can be made based on medical history, clinical manifestations, and examination.

Differential diagnosis

Identification with pancreatic malignancies.

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