Abdominal Tuberculosis Mimicking Annular Pancreas in an Adult

Abstract

Gastrointestinal tuberculosis is rampant in Africa and can mimic other gastrointestinal diseases. Isolated duodenal involvement is rare. We report a patient who succumbed to an isolated mid duodenal tuberculosis whose clinical presentation, endoscopy and computerised tomography scans resembled annular pancreas, only to be diagnosed at laparotomy. The limitations of clinical evaluation, endoscopy and radiology are highlighted as the importance of diagnostic laparoscopy is emphasized.