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Synchronous pancreatic and scrotal tuberculosis: Double jeopardy
ST Patel1, QQ Contractor1, CS Nayak2, PM Rathi1
1 Department of Gastroenterology, Topiwala National Medical College and BYL Nair Ch Hospital, Mumbai, Maharashtra, India
2 Department of Dermatology, Topiwala National Medical College and BYL Nair Ch Hospital, Mumbai, Maharashtra, India
Correspondence Address:
ST Patel,
Department of Gastroenterology, Topiwala National Medical College and BYL Nair Ch Hospital, Mumbai, Maharashtra
India
 Source of Support: None, Conflict of Interest: None DOI: 10.4103/jpgm.jpgm_558_22 PMID: 36751759
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We describe a patient who presented with scrotal swelling followed by non-healing and discharging scrotal sinuses, following local trauma and was initially suspected to have an infected scrotal hematoma. An evaluation revealed it to be scrotal tuberculosis. He also complained of upper abdominal pain and on transabdominal ultrasonography was detected to have a mass in the head of the pancreas. Evaluation of the pancreatic mass revealed it to be pancreatic tuberculosis. Both lesions responded well to anti-tubercular therapy. This is an unusual case of two rare sites of extrapulmonary tuberculosis presenting simultaneously in the same individual. Care needs to be exercised while evaluating any non-healing ulcers or sinuses and mass lesions in countries endemic for tuberculosis as this disease can be a great masquerader.
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