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A case of obstructive jaundice caused by tuberculous lymphadenitis: a literature review

Authors
 Su Jung Baik  ;  Kwon Yoo  ;  Tae Hun Kim  ;  Il Hwan Moon  ;  Min-Sun Cho 
Citation
 CLINICAL AND MOLECULAR HEPATOLOGY, Vol.20(2) : 208-213, 2014 
Journal Title
 CLINICAL AND MOLECULAR HEPATOLOGY 
ISSN
 2287-2728 
Issue Date
2014
MeSH
Adolescent ; Adult ; Bilirubin/blood ; Duodenal Ulcer/pathology ; Endoscopy, Gastrointestinal ; Esophageal and Gastric Varices/pathology ; Female ; Humans ; Jaundice, Obstructive/diagnosis* ; Male ; Middle Aged ; Tomography, X-Ray Computed ; Tuberculosis, Lymph Node/diagnosis* ; Young Adult
Keywords
Lymphadenitis ; Portal hypertension ; Tuberculosis
Abstract
Obstructive jaundice caused by tuberculous lymphadenitis is a rare manifestation of tuberculosis (TB), with 15 cases having been reported in Korea. We experienced a case of obstructive jaundice caused by pericholedochal tuberculous lymphadenitis in a 30-year-old man. The patient's initial serum total bilirubin level was 21.1 mg/dL. Abdominal computed tomography revealed narrowing of the bile duct by a conglomerated soft-tissue mass involving the main portal vein. Abrupt obstruction of the common bile duct was observed on cholangiography. Pathologic analysis of a ultrasonography-guided biopsy sample revealed chronic granulomatous inflammation, and an endoscopic examination revealed esophageal varices and active duodenal ulceration, the pathology of which was chronic noncaseating granulomatous inflammation. Hepaticojejunostomy was performed and pathologic analysis of the conglomerated soft-tissue mass revealed chronic granulomatous inflammation with caseation of the lymph nodes. Tuberculous lymphadenitis should be considered in patients presenting with obstructive jaundice in an endemic area.
Files in This Item:
T201402617.pdf Download
DOI
10.3350/cmh.2014.20.2.208
Appears in Collections:
7. Others (기타) > Gangnam Severance Hospital Health Promotion Center(강남세브란스병원 체크업) > 1. Journal Papers
Yonsei Authors
Baik, Su Jung(백수정) ORCID logo https://orcid.org/0000-0002-3790-7701
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/158560
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