Tuberculous Lymphadenopathy Mimicking Pancreatic Neoplasm

Joint Authors

Fujita, Jiro
Hoshino, Kunikazu
Shiraishi, Masayuki
Hokama, Akira
Shibata, Daisuke
Nishimaki, Tadashi
Arakaki, Shingo
Kinjo, Fukunori
Maeshiro, Tatsuji

Source

Case Reports in Medicine

Issue

Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-4, 4 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2012-07-19

Country of Publication

Egypt

No. of Pages

4

Main Subjects

Medicine

Abstract EN

Abdominal tuberculosis (TB) is the sixth most common location of extrapulmonary TB involvement.

Because its symptoms and signs are often nonspecific, laboratory and imaging findings mimic other diseases including carcinoma.

Therefore, the diagnosis of abdominal TB is challenging.

We herein report a case of 74-year-old woman who presented with abdominal pain, anorexia, and weight loss.

She had been given a diagnosis of pancreatic head carcinoma.

Laboratory data was unremarkable except for elevated erythrocyte sedimentation rate, CA125, and sIL-2R.

CT scan revealed multiple enlarged peripancreatic lymph nodes and concentric thickening of the ileocecal wall.

Colonoscopy demonstrated deformed ileocecal valve and erosions.

Histological examination showed epithelioid granulomas.

Laparoscopy revealed numerous white tubercles diffusely covering the parietal peritoneum.

Histopathological images of peripancreatic lymph node revealed large multiple caseating granulomas surrounded by Langhans_giant cells and epithelioid cells.

Polymerase chain reaction and culture of the specimens were positive for Mycobacterium tuberculosis.

Tuberculous lymphadenopathy, colitis, and peritonitis were finally diagnosed.

She responded well to the antitubercular treatment.

American Psychological Association (APA)

Hoshino, Kunikazu& Arakaki, Shingo& Shibata, Daisuke& Maeshiro, Tatsuji& Hokama, Akira& Kinjo, Fukunori…[et al.]. 2012. Tuberculous Lymphadenopathy Mimicking Pancreatic Neoplasm. Case Reports in Medicine،Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-482303

Modern Language Association (MLA)

Hoshino, Kunikazu…[et al.]. Tuberculous Lymphadenopathy Mimicking Pancreatic Neoplasm. Case Reports in Medicine No. 2012 (2012), pp.1-4.
https://search.emarefa.net/detail/BIM-482303

American Medical Association (AMA)

Hoshino, Kunikazu& Arakaki, Shingo& Shibata, Daisuke& Maeshiro, Tatsuji& Hokama, Akira& Kinjo, Fukunori…[et al.]. Tuberculous Lymphadenopathy Mimicking Pancreatic Neoplasm. Case Reports in Medicine. 2012. Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-482303

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-482303