Case Report : 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 tota...

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Bibliographic Details
Published inClinical and molecular hepatology Vol. 20; no. 2; pp. 208 - 213
Main Authors Su Jung Bai, Kwon Yoo, Tae Hun Kim, Il Hwan Moon, Min Sun Cho
Format Journal Article
LanguageKorean
Published 대한간학회 30.06.2014
Subjects
Lymphadenitis
Portal hypertension
Tuberculosis
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Summary: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 ultrasonographyguided 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. (Clin Mol Hepatol 2014;20:208-213)
Bibliography:The Korean Association for the Study of the Liver
ISSN:2287-2728
2287-285X