DOI: 10.36347/sjams.2020.v08i02.037

Pages: 545-548

Tuberculosis is a major public health problem in our country. Abdominal tuberculosis ranks third among the extrapulmonary localisations and account for 3% of the various topographic forms in Morocco. The pancreas and peripancreatic locations are much rarer than peritoneal and intestinal lesions. They present a pseudotumoral appearance that creates a diagnostic emergency. We report a 54 year old woman immunocompetent with pseudotumor pancreatic tuberculosis. Diagnosis was revealed by abdominal pain predominantly epigastric, radiating in the back and associated with decreased appetite, weight loss, and asthenia. Definitive diagnosis was obtained by highlighting follicle Koester on pancreatic mass and lymph node biopsies per operative. Evolution was favorable after antituberculosis chemotherapy. The diagnosis of pancreatic tuberculosis requires a high level of presumption, we must thinking about in front of a pancreatic mass in a patient living in an endemic country.