Korean Journal of Gastrointestinal Endoscopy 1994;14(1): 115-120.
증례 : 폐쇄성 황달을 유발한 결핵성 림프선염 1예 ( Case Reports : A Case of Tuberculous Lymphadenitis Causing Obstructive Jaundice )
이창홍, 김재선, 이구, 박영태, 김진호, 김종극, 원남희, 조은래, 이성준, 문홍영 (Chang Hong Lee, Jae Seon Kim, Goo Lee, Young Tae Bak, Jin Ho Kim, Jong Guk Kim, Nam Hee Won, Eun Rae Jo, Sung Joon Lee and Hong Young Moon)
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.
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