Biliary strictures secondary to tuberculosis and early ampullary carcinoma
Chong, V.H.; Telisinghe, P.U.; Yapp, S.K.S.; Jalihal, A.
Singapore Medical Journal 50(3): e94-e96
2009
ISSN/ISBN: 0037-5675 PMID: 19352560 Document Number: 630381
Obstructive jaundice is common and in most cases due to stone diseases or malignancies. Malignancies are important causes and are often unresectable at the time of diagnosis. Similarly, it is also important to consider infective causes such as tuberculosis (TB), particularly in endemic areas or in patients with risk factors. Although rare, the possibilities for the coexistence of different pathologies need to be considered as the treatment required will be different. We report a 67-year-old man with unexpected findings of obstructive jaundice secondary to biliary TB and an early ampullary tumour.