A case of obstructive jaundice caused by tuberculous lymphadenitis: A literature review
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...
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The Korean Association for the Study of the Liver
2014
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| Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4099337/ |
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pubmed-40993372014-07-16 A case of obstructive jaundice caused by tuberculous lymphadenitis: A literature review Baik, Su Jung Yoo, Kwon Kim, Tae Hun Moon, Il Hwan Cho, Min-Sun Case Report 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. The Korean Association for the Study of the Liver 2014-06 2014-06-30 /pmc/articles/PMC4099337/ /pubmed/25032188 http://dx.doi.org/10.3350/cmh.2014.20.2.208 Text en Copyright © 2014 by The Korean Association for the Study of the Liver http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| repository_type |
Open Access Journal |
| institution_category |
Foreign Institution |
| institution |
US National Center for Biotechnology Information |
| building |
NCBI PubMed |
| collection |
Online Access |
| language |
English |
| format |
Online |
| author |
Baik, Su Jung Yoo, Kwon Kim, Tae Hun Moon, Il Hwan Cho, Min-Sun |
| spellingShingle |
Baik, Su Jung Yoo, Kwon Kim, Tae Hun Moon, Il Hwan Cho, Min-Sun A case of obstructive jaundice caused by tuberculous lymphadenitis: A literature review |
| author_facet |
Baik, Su Jung Yoo, Kwon Kim, Tae Hun Moon, Il Hwan Cho, Min-Sun |
| author_sort |
Baik, Su Jung |
| title |
A case of obstructive jaundice caused by tuberculous lymphadenitis: A literature review |
| title_short |
A case of obstructive jaundice caused by tuberculous lymphadenitis: A literature review |
| title_full |
A case of obstructive jaundice caused by tuberculous lymphadenitis: A literature review |
| title_fullStr |
A case of obstructive jaundice caused by tuberculous lymphadenitis: A literature review |
| title_full_unstemmed |
A case of obstructive jaundice caused by tuberculous lymphadenitis: A literature review |
| title_sort |
case of obstructive jaundice caused by tuberculous lymphadenitis: a literature review |
| description |
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. |
| publisher |
The Korean Association for the Study of the Liver |
| publishDate |
2014 |
| url |
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4099337/ |
| _version_ |
1613114132110770176 |