Common Bile Duct Obstruction Due to Tuberculous Lymphadenitis

Baik, Hong Kyu; Kim, Yong Il

doi:1987.34.3.246

Tuberc Respir Dis > Volume 34(3); 1987 > Article

Case report

Tuberculosis and Respiratory Diseases 1987;34(3):246-249.
DOI: https://doi.org/10.4046/trd.1987.34.3.246 Published online September 1, 1987.

Common Bile Duct Obstruction Due to Tuberculous Lymphadenitis

Hong Kyu Baik, Yong Il Kim

Department of Surgery, Collegeof Medicine, Hanyang University, Seoul, Korea.

결핵성 임파선염에 의한 총수담관 폐쇄 1예

백홍규, 김용일

Abstract

Extrinsic compression of CBD that results from tuberculous lymphadenitis is very rare cau않 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 cervical 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.