Periduodenal Tuberculosis masquerading as Annular Pancreas

Authors: Ongeti K1 BSc, MBChB, Msc (Anat), Pulei A1 BSc, MBChB, Mandela P1 MBChB, MMed, MPH, Kimpiatu P2 MBChB,

MMed. Affi liations: 1. School of Medicine, University of Nairobi, 2. PCEA Kikuyu hospital, Kikuyu. Correspondence to Dr. Kevin

Ongeti, University of Nairobi. PO Box 30197 00100 Nairobi. E-mail: kongeti@aol.com.

 

Summary

Gastrointestinal tuberculosis is common in Africa. Nonetheless, isolated duodenal involvement is rare, and is more likely to mimic other causes of duodenal obstruction. We report a patient who succumbed to an isolated mid duodenal tuberculosis, diagnosed at laparatomy, whose clinical presenta-tion, endoscopy and computerised tomography scans resembled annular pancreas. The limitations of clinical evaluation, endoscopy and radiology are highlighted as the importance of diagnostic laparoscopy is emphasized.

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