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Investigations included abdominal ultrasound and CT scan of the abdomen which demonstrated a 3\u2009cm cystic lesion in the head of the pancreas, most likely a mucinous cystadenoma. Because of its malignant potential resection was advised. During surgical exploration, the tumour appeared unresectable, due to involvement of the common hepatic artery. PCR on biopsy revealed <jats:italic>Mycobacterium tuberculosis<\/jats:italic>. The patient was referred to an infectious disease specialist, and a full recovery was achieved after 6 months of antimicrobials.<\/jats:p>","DOI":"10.1136\/bcr-2018-225983","type":"journal-article","created":{"date-parts":[[2018,12,18]],"date-time":"2018-12-18T17:19:47Z","timestamp":1545153587000},"page":"e225983","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Tuberculosis presenting as a pancreatic cystic neoplasm"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7380-462X","authenticated-orcid":false,"given":"Niels","family":"van der Naald","sequence":"first","affiliation":[{"name":"Department of Surgery, Amsterdam UMC, University of Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anton F","family":"Engelsman","sequence":"additional","affiliation":[{"name":"Department of Surgery, Amsterdam UMC, University of Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc R W","family":"Engelbrecht","sequence":"additional","affiliation":[{"name":"Department of Radiology, Amsterdam UMC, University of Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanne","family":"Verheij","sequence":"additional","affiliation":[{"name":"Department of Pathology, Amsterdam UMC, University of Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc G","family":"Besselink","sequence":"additional","affiliation":[{"name":"Department of Surgery, Amsterdam UMC, University of Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivier R","family":"Busch","sequence":"additional","affiliation":[{"name":"Department of Surgery, Amsterdam UMC, University of Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"van Gulik","sequence":"additional","affiliation":[{"name":"Department of Surgery, Amsterdam UMC, University of Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,12,9]]},"reference":[{"key":"2025082701294373000_11.1.e225983.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2010.05.017"},{"key":"2025082701294373000_11.1.e225983.2","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2015.01.015"},{"key":"2025082701294373000_11.1.e225983.3","doi-asserted-by":"publisher","DOI":"10.1159\/000243733"},{"key":"2025082701294373000_11.1.e225983.4","doi-asserted-by":"crossref","first-page":"720","DOI":"10.3748\/wjg.v18.i7.720","article-title":"Pancreatic tuberculosis with acquired immunodeficiency syndrome: a case report and systematic review","volume":"18","author":"Meesiri","year":"2012","journal-title":"World J Gastroenterol"},{"key":"2025082701294373000_11.1.e225983.5","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-7-1"},{"key":"2025082701294373000_11.1.e225983.6","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1016\/j.gie.2008.10.007","article-title":"Yield of EUS-guided FNA on the diagnosis of pancreatic\/peripancreatic tuberculosis","volume":"69","author":"Song","year":"2009","journal-title":"Gastrointest Endosc"},{"key":"2025082701294373000_11.1.e225983.7","doi-asserted-by":"publisher","DOI":"10.1097\/RCT.0b013e31816c82bc"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bcr-2018-225983","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-225983","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:29:52Z","timestamp":1756283392000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-225983"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11]]},"references-count":7,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018,12,9]]},"published-print":{"date-parts":[[2018,11]]}},"alternative-id":["10.1136\/bcr-2018-225983"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-225983","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2018,11]]}}}