2003年
Tuberculous lymphadenitis as a cause of obstructive jaundice: Report of a case
SURGERY TODAY
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- 巻
- 33
- 号
- 3
- 開始ページ
- 229
- 終了ページ
- 231
- 記述言語
- 英語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.1007/s005950300051
- 出版者・発行元
- SPRINGER-VERLAG
We report a rare case of obstructive jaundice caused by enlarged tuberculous lymph nodes compressing the common bile duct in the retropancreatic region, mimicking pancreatic cancer. A 32-year-old man was admitted to our hospital with a 1-month of history of jaundice. An abdominal computed tomography (CT) scan showed a tumor in the pancreatic head, but an endoscopic retrograde cholangiopancreatogram (ERCP) showed a normal pancreatic duct system. Positron emission tomography with 2-[fluorine-18]fluoro-2-deoxy-D-glucose (FDG-PET) revealed a hot spot only in the pancreatic head. Under a presumptive diagnosis of malignancy, a laparotomy was performed and an intraoperative biopsy specimen revealed epithelioid granuloma with caseous necrosis, which led us to suspect tuberculous lymphadenitis.,,: This diagnosis was confirmed by culture, and antituberculous therapy was commenced postoperatively. The patient has not suffered any further episodes of obstructive jaundice. This case report demonstrates that positive FDG-PET results should be interpreted carefully when diagnosing tumors of the pancreatic head.
- リンク情報
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- DOI
- https://doi.org/10.1007/s005950300051
- CiNii Articles
- http://ci.nii.ac.jp/naid/10015482515
- PubMed
- https://www.ncbi.nlm.nih.gov/pubmed/12658393
- Web of Science
- https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000182151900014&DestApp=WOS_CPL
- ID情報
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- DOI : 10.1007/s005950300051
- ISSN : 0941-1291
- CiNii Articles ID : 10015482515
- PubMed ID : 12658393
- Web of Science ID : WOS:000182151900014