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Solitary Intra-abdominal Tuberculous Lymphadenopathy Mimicking Duodenal GIST

Soo Hyung Ryu|Jeong Seop Moon|You Sun Kim|Jung Whan Lee|Il Kim|In Wook Paik
대한내과학회 (The Korean Association Of Internal Medicine)|2005.03|The Korean Journal of Internal Medicine|제20권 제1호|pp. 72-75

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참고문헌

주제분류내과학

초록

Abstract

Tuberculosis remains prevalent in developing countries and has recently re-emerged in the Western world. Intra-abdominal tuberculosis can mimic a variety of other abdominal disorders, and here we describe a patient with solitary tuberculous mesenteric lymphadenopathy mimicking duodenal gastrointestinal stromal tumor (GIST). A 22-year-old woman complained of epigastric discomfort and was presumed to have a duodenal GIST after an endoscopic examination and abdominal CT scan. However, exploratory laparotomy revealed an enlarged node penetrating the duodenal bulb, which was diagnosed histopathologically as tuberculous lymphadenitis. This case suggests that in regions with a high prevalence of tuberculosis, intra-abdominal tuberculosis is often mistaken as a malignant neoplasm. A high index of suspicion and the accurate nonsurgical diagnosis of intra-abdominal tuberculosis continues to be a challenge.

참고문헌 (18)

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관련 논문AI추천

Paradoxical reaction of tuberculosis masquerading as a gastric subepithelial tumor남광우, 최준호, Jinmo Kim, Jooyeop Lee, Won-Ae Lee대한내과학회 · The Korean Journal of Internal Medicine2022 · 제37권 제2호Sclerosing mesenteritis mimicking mesenteric malignancy강동백, 김태현, 윤기중, 이정엽, 전형구대한내과학회 · The Korean Journal of Internal Medicine2019 · 제34권 제2호A Rare Cause of Gastric Subepithelial Tumor김광하, Do Youn Park대한소화기내시경학회 · Clinical Endoscopy2020 · 제53권 제3호Primary Follicular Lymphoma of the Duodenum: A Case Report박찬식, 허주령, Jin Roh대한병리학회 · Journal of Pathology and Translational Medicine2016 · 제50권 제6호Sclerosing Extramedullary Hematopoietic Tumor Mimicking Intra-abdominal SarcomaFiliz Buyukkececi, Guray Oncel, Hasan Kaplan, Mine Hekimgil, Nalan Nese, Nazan Ozsan, Serap Karaarslan, Taner Akalin대한병리학회 · Journal of Pathology and Translational Medicine2015 · 제49권 제4호Duodenal Mucosa-Associated Lymphoid Tissue Lymphoma: A Case ReportDong Hun Lee, Il Hyun Ba다, Joo Hyun Jang, Jung Han Kim, Kyung Hee Woo, Seong Bo Yoon, Seong Ho Hong대한내과학회 · The Korean Journal of Internal Medicine2007 · 제22권 제4호

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