A case of obstructive jaundice caused by tuberculous lymphadenitis: A literature review
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초록
Obstructive jaundice caused by tuberculous lymphadenitis is a rare manifestation of tuberculosis (TB), with 15 caseshaving been reported in Korea. We experienced a case of obstructive jaundice caused by pericholedochal tuberculouslymphadenitis in a 30-year-old man. The patient’s initial serum total bilirubin level was 21.1 mg/dL. Abdominalcomputed tomography revealed narrowing of the bile duct by a conglomerated soft-tissue mass involving the mainportal vein. Abrupt obstruction of the common bile duct was observed on cholangiography. Pathologic analysis of aultrasonography-guided biopsy sample revealed chronic granulomatous inflammation, and an endoscopic examinationrevealed esophageal varices and active duodenal ulceration, the pathology of which was chronic noncaseatinggranulomatous inflammation. Hepaticojejunostomy was performed and pathologic analysis of the conglomeratedsoft-tissue mass revealed chronic granulomatous inflammation with caseation of the lymph nodes. Tuberculouslymphadenitis should be considered in patients presenting with obstructive jaundice in an endemic area.
Abstract
Obstructive jaundice caused by tuberculous lymphadenitis is a rare manifestation of tuberculosis (TB), with 15 caseshaving been reported in Korea. We experienced a case of obstructive jaundice caused by pericholedochal tuberculouslymphadenitis in a 30-year-old man. The patient’s initial serum total bilirubin level was 21.1 mg/dL. Abdominalcomputed tomography revealed narrowing of the bile duct by a conglomerated soft-tissue mass involving the mainportal vein. Abrupt obstruction of the common bile duct was observed on cholangiography. Pathologic analysis of aultrasonography-guided biopsy sample revealed chronic granulomatous inflammation, and an endoscopic examinationrevealed esophageal varices and active duodenal ulceration, the pathology of which was chronic noncaseatinggranulomatous inflammation. Hepaticojejunostomy was performed and pathologic analysis of the conglomeratedsoft-tissue mass revealed chronic granulomatous inflammation with caseation of the lymph nodes. Tuberculouslymphadenitis should be considered in patients presenting with obstructive jaundice in an endemic area.
참고문헌 (20)
- Colovic R, "Tuberculous lymphadenitis as a cuase of obstructive jaundice:a case report and literature review", World J Gastroenterol, 14, pp.3098~3100 (2008)
- Alvarez SZ., "Hepatobiliary tuberculosis", J Gastroenterol Hepatol, 19, pp.833~839 (1998)
- Ko YW, "Obstructive jaundice due to tuberculous lymphadenitis and", or tuberculosis of the pancreas: a case report, 1976, pp.8, 67~75
- Kim KS, "A case of obstructive jaundice due to tuberculous lymphadenitis", Eulji Med J, 10, pp.141~144 (1987)
- Baik HK, "Common bile duct obstruction due to tuberculous lymphadenitis", Tuber Respir Dis, 34, pp.246~249 (1987)
- "One case of biliary tract obstruction caused by tuberculous adenitis", Korean J Gastrointest Endosc, 10, pp.351~354 (1990)
- Jeong HS, "Biliary tract obstruction due to tuberculous lymphadenopathy", J Korean Surg Soc, 44, pp.772~776 (1993)
- Han KK, "A case of obstructive jaundice due to tuberculous lymphadenitis", Korean J Gastroenterol, 25, pp.1070~1074 (1993)
- Lee CH, "A case of tuberculous lymphadenitis causing obstructive jaundice", Korean J Gastrointest Endosc, 14, pp.115~120 (1994)
- Jeon WH, "A case of duodenal tuberculosis presenting ulcer bleeding and obstructive jaundice", Korean J Gastroenterol, 26, pp.573~578 (1994)
- Lee CW, "A case of extra-hepatic portal hypertension caused by periportal tuberculous lymphadenitis", J Korean Med Sci, 9, pp.264~267 (1994)
- Kim JG, "A case of obstructive jaundice due to tuberculous lymphadenitis with duodenal tuberculosis", Korean J Gastroenterol, 31, pp.398~403 (1998)
- Oh GY, "Biliary tract obstruction and portal hypertension due to tuberculous lymphadenitis", Korean J Gastroenterol, 33, pp.443~448 (1999)
- Lee SC, "A case of isolated-organ tuberculosis causing common bile duct obstruction: tuberculous periductal lymphadenitis", Korean J Gastrointest Endosc, 19, pp.143~147 (1999)
- Kwon SH, "A case of obstructive jaundice caused by tuberculous portal lymphadenopathy", Korean J Gastroenterol, 35, pp.820~825 (2000)
- 김길현, "결핵성 담관염과 림프절염에 의한 진행성 담관협착을 수술로 치료한 1예", Clinical Endoscopy, 35(4), pp.287~291 (2007), 대한소화기내시경학회
- Yun Jung Lee, "A Case of Obstructive Jaundice Caused by Paradoxical Reaction during Antituberculous Chemotherapy for Abdominal Tuberculosis", Gut and Liver, 3(4), pp.338~342 (2009), 거트앤리버 발행위원회
- Chong VH., "Hepatobiliary tuberculosis: a review of presentations and outcome", South Med J, 101, pp.356~361 (2008)
- Kok KY, "Tuberculosis of the bile duct: a rare cause of obstructive jaundice", J Clin Gastroenterol, 29, pp.161~164 (1999)
- Yeh TS, "Obstructive jaundice caused by biliary tuberculosis: spectrum of the diagnosis and management", Gasteointest Endosc, 50, pp.105~108 (1999)