A Case of Tuberculous Lymphadenitis Causing Obstructive Jaundice.
- Author:
Chang Hong LEE
;
Jae Seon KIM
;
Goo LEE
;
Young Tae BAK
;
Jin Ho KIM
;
Jong Guk KIM
;
Nam Hee WON
;
Eun Rae JO
;
Sung Joon LEE
;
Hong Young MOON
- Publication Type:Case Report
- Keywords:
Obstructive jaundice;
Tuberculous lymphadenitis;
ERCP
- MeSH:
Bile Ducts;
Bile Ducts, Extrahepatic;
Cholangiopancreatography, Endoscopic Retrograde;
Common Bile Duct;
Jaundice, Obstructive*;
Laparotomy;
Lymph Nodes;
Lymphoma;
Tomography, X-Ray Computed;
Tuberculosis, Lymph Node*;
Tuberculosis, Pulmonary
- From:Korean Journal of Gastrointestinal Endoscopy
1994;14(1):115-120
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Obstructive disorders of the biliary trees include occlusions of the bile duct lumen by stones, intrinsic disorders of the bile ducts, and extrinsic compressions. The most common biliary cause of obstructive jaundice is the presence of stones. Intrinsic disorders of the bile ducts may be inflammatory, infectious, or neoplastic. And significant enlargement of adjacent lymph nodes due to metastatic tumors or lymphoma can occasionally obstruct the extrahepatic bile ducts. But obstructive jaundice produced by periportal tuberculous lymphadenitis with no evidence of pulmonary tuberculosis is very rare. We report a case of tuberculous lymphadenitis causing obstructive jaundice with a mass around mid common bile duct on abdominal sonogram, CT scan and ERCP, and it was confirmed by an exploratory laparotomy.
