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KMID : 0383819870340030246
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Tuberculosis and Respiratory Diseases
1987 Volume.34 No. 3 p.246 ~ p.249
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Common Bile Duct Obstruction Due to Tuberculous Lymphadenitis
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Abstract
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Extrinsic compression of CBD that results from tuberculous lymphadenitis is very rare
cause of obstructive jaundice. The cause of obstruction in this case is difficult to
establish before operation. This report is one case of CBD obstruction due to
tuberculous lymphadenitis treated in the Department of Surgery, Hanyang University
Hospital.
A 40 year old woman presented with constitutional symptoms and biochemical
evidence of biliary tract obstruction. Three month before the administration, she was
made diagnosis of tuberculous conical lymphadenitis. After surgical drainage, she was
treated with antituberculous chemotherapy for two months. On preoperative image study,
the periampullary mass was detected and she underwent laparotomy which revealed
enlarged lymph node around the supraduodenal portion of CBD and mesentery. The CBD
was nearly obstructed due to enlarged lymph node. The lymph node was obtained for
frozen biopsy and it was confirmed to tuberculous granuloma. Loop hepaticojejunostomy
with Braun anastomosis was performed. The patient also continued to receive
antituberculous chemotherapy for one year and continued to be well five year after
operation.
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