A Case of Intra-Abdominal Kikuchi's Disease with Increased FDG Uptake on PET-CT that Mimicked Intra-Abdominal Lymphoma.
- Author:
Ji Soo SEOL
1
;
Young Eun HA
;
Su Hyeon YOO
;
Ki Bae BANG
;
Eun Hye PARK
;
Su Young JUNG
;
Jung Soo PYO
;
Seung Wan CHAE
;
Joon Sup YEOM
Author Information
- Publication Type:Case Report
- Keywords: Intra-abdominal lymphadenopathy; Kukuchi's disease; Positron-emission tomography
- MeSH: Biopsy; C-Reactive Protein; Diagnosis, Differential; Electrons; Female; Fever; Histiocytic Necrotizing Lymphadenitis; Humans; Ileocecal Valve; Leukopenia; Lymph Nodes; Lymphadenitis; Lymphatic Diseases; Lymphoma; Physical Examination; Positron-Emission Tomography; Rare Diseases
- From:Infection and Chemotherapy 2012;44(6):535-539
- CountryRepublic of Korea
- Language:Korean
- Abstract: Kikuchi's disease is a benign disease characterized mainly by fever and cervical lymphadenitis. We report a case of Kikuchi's disease that manifested as intra-abdominal lymphadenitis. A 39 year old woman presented with fever that had persisted for one week. Her history and physical examination were unremarkable. The laboratory findings revealed mild leukopenia and increased C-reactive protein. Abdominal CT revealed multiple lymph node enlargements in the mesenteric root and around the ileocecal valve. Positron emission tomography-computed tomography (PET-CT) revealed increased 18-fluoro-deoxyglucose(FDG) uptake in the lymph nodes observed by abdominal CT. A laparoscopic excisional biopsy of the lymph node was performed for a confirmatory diagnosis and the pathology findings were compatible with Kikuchi's disease. Although intra-abdominal Kikuchi's disease is a rare disease, it should be considered in a differential diagnosis of intra-abdominal lymphadenopathy with increased FDG uptake on PET-CT.
