胰腺结核少见,尸检发生率较低,鉴别诊断较困难。笔者搜集2例经病理证实的胰腺结核患者的临床和影像学资料,复习相关文献综合报道如下。例1男,18岁。上腹部不适、疼痛2个月,加重伴恶心、呕吐1周入院,无发热盗汗,无结核接触史及肝炎病史。体检:消瘦,左上腹压痛,腹肌稍紧张,未触及 Pancreatic tuberculosis is rare, the incidence of autopsy is low, the differential diagnosis more difficult. The author collected two cases of pathologically confirmed pancreatic tuberculosis clinical and imaging data, review the relevant literature comprehensive coverage is as follows. Example 1 Male, 18 years old. Upper abdominal discomfort, pain for 2 months, aggravated with nausea and vomiting 1 week admission, no fever, night sweats, no history of tuberculosis exposure and hepatitis history. Physical examination: weight loss, left upper quadrant tenderness, abdominal a little nervous, untouched