Korean Journal of Gastrointestinal Endoscopy 1999;19(1): 143-147.
담도 폐쇄를 일으킨 고립성 장기결핵 1 예 - 결핵성 담도 주위 림프절염 1 예 - ( A Case of Isolated-organ Tuberculosis Causing Common Bile Duct Obstruction ―Tuberculous periductal lymphadenitis ― )
이수창, 구본삼, 박현용, 안수열, 이상욱, 한병훈, 박명선, 허방 (Soo Chang Lee, Bon Sam Koo, Hyun Lyong Park, Su Yul Ahn, Sang Uk Lee, Byung Hoon Han, Myung Sun Park and Bang Hur)
Abstract
The explanation of isolated-organ tuberculosis rests on the assumption that in the course of the lymphatic or hematogenous dissemination of bacilli, organisms may be rapidly destroyed in all other sites save for the particular tissue involved in the isolated tuberculous process. Tuberculosis can arise in all tissues having lymphatics or blood supply, but the disease causing biliary tract obstruction has been known to be rare. Recently, we experi-enced a case of isolated-organ tuberculosis causing common bile duct obstruction and periductal lymph node enlargement in a 46-year-old Korean male. An ultrasonography-guided percutaneous needle biopsy revealed a granulomatous inflammation of the lymph node. After 7 months of anti-tuberculous medication, the common bile duct obstruction and periductal lymph node enlargement disappeared completely in a follow up abdominal CT and ERCP. (Korean J Gastrointest Endosc 19: 143 ∼147, 1999)
PDF Links
Full text via DOI 
Download Citation 
