Korean J Gastrointest Endosc.  1994 Mar;14(1):115-120.

A Case of Tuberculous Lymphadenitis Causing Obstructive Jaundice

• Lee CH
• Kim JS
• Lee G
• Bak YT
• Kim JH
• Kim JG
• Won NH
• Jo ER
• Lee SJ
• Moon HY

Abstract

Obstructive disorders of the biliary trees include occlusions of the bile duct lumen by stones, intrinsic disorders of the bile ducts, and extrinsic compressions. The most common biliary cause of obstructive jaundice is the presence of stones. Intrinsic disorders of the bile ducts may be inflammatory, infectious, or neoplastic. And significant enlargement of adjacent lymph nodes due to metastatic tumors or lymphoma can occasionally obstruct the extrahepatic bile ducts. But obstructive jaundice produced by periportal tuberculous lymphadenitis with no evidence of pulmonary tuberculosis is very rare. We report a case of tuberculous lymphadenitis causing obstructive jaundice with a mass around mid common bile duct on abdominal sonogram, CT scan and ERCP, and it was confirmed by an exploratory laparotomy.

Keyword

Obstructive jaundice; Tuberculous lymphadenitis; ERCP

MeSH Terms

Bile Ducts
Bile Ducts, Extrahepatic
Cholangiopancreatography, Endoscopic Retrograde
Common Bile Duct
Jaundice, Obstructive*
Laparotomy
Lymph Nodes
Lymphoma
Tomography, X-Ray Computed
Tuberculosis, Lymph Node*
Tuberculosis, Pulmonary