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  Indian J Med Microbiol
 

Figure 1: CECT (coronal and axial views) shows a heterogenous hypovascular poorly enhancing lesion (asterisk) involving the upper part of the pancreas and gastric wall along the lesser curvature encasing segment of splenic artery and vein (panels A and B); photomicrograph (hematoxylin and eosin stain, ×100) shows epithelioid cell granulomas with Langhans giant cells (arrowhead) in the pancreas (panel B) with the inset showing acid-fast bacilli on Zeihl–Neelsen stain; photomicrograph (hematoxylin and eosin stain, ×400) shows epithelioid cell granulomas (arrowhead) in the peripancreatic tissue (panel C); photomicrograph (hematoxylin and eosin stain; ×100) shows ulcerated gastric mucosa and the presence of epithelioid cell granulomas with Langhans giant cells (arrowhead) within the gastric wall (panel D)

Figure 1: CECT (coronal and axial views) shows a heterogenous hypovascular poorly enhancing lesion (asterisk) involving the upper part of the pancreas and gastric wall along the lesser curvature encasing segment of splenic artery and vein (panels A and B); photomicrograph (hematoxylin and eosin stain, ×100) shows epithelioid cell granulomas with Langhans giant cells (arrowhead) in the pancreas (panel B) with the inset showing acid-fast bacilli on Zeihl–Neelsen stain; photomicrograph (hematoxylin and eosin stain, ×400) shows epithelioid cell granulomas (arrowhead) in the peripancreatic tissue (panel C); photomicrograph (hematoxylin and eosin stain; ×100) shows ulcerated gastric mucosa and the presence of epithelioid cell granulomas with Langhans giant cells (arrowhead) within the gastric wall (panel D)