Korean Journal of Gastrointestinal Endoscopy 1990;10(2): 351-354.
결핵성 임파선염에 의한 총담관 폐쇄 1예 ( One Case of Biliary Tract Obstruction Caused by Tuberculous Adenitis )
김영호, 이동기, 권상옥, 장우익, 김수용, 조휘율, 이지훈 (Yeong Ho Kim, Dong Ki Lee, Sang Ok Kwon, Woo Ick Jang, Su Yong Kim, Hwi Yul Cho and Ji Hoon Lee)
Abstract
Obstructive jaundice produced by periportal tuberculous adenitis in the absence of pulmonary tuberculosis is quite rare. We are reporting the case of a 58-year-old woman who presented with constitutional symptoms and biochemical evidence of biliary tract obstruction. By abdominal sonogram and CT scan, a mass around the head of pancreas and periportal area was detected. The ERCP showed fistula connected proximal common bile duct to lymph node. The patient underwent laparotomy and recognized tuberculous adenitis of periportal lymph node which caused biliary tract obstruction with fistula.
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