Mhd Kutaiba Albuni, Ruba Zuhri Yafi, Bana Sabbagh, Mazen Al Moubarak, Lina Khouri
Background Pancreatic tuberculosis is very rare, mostly due to the antibacterial effects of the pancreatic enzymes. The association of thrombosis and Tb has been reported but that of inferior vena cava thrombosis and pancreatic Tb is extremely rare and has only been reported once. Case presentation a case of pancreatic Tuberculosis and IVC thrombosis presented with constitutional symptoms. Ultrasonography and computerized tomography showed a lesion in the head of the pancreas and large lymph mass. Magnetic resonance imaging (MRI) of inferior vena cava (IVC) showed thrombosis in the IVC. Histological examination revealed necrotizing granulomas after a laparotomy. The patient received antituberculosis chemotherapy and low molecular weight heparin. Conclusion Tuberculosis could never stop from amazing us and we should always put it in the deferential.