Pancreatic pseudo-tumor caused by bilio-pancreatic tuberculous lymphadenitis. 2 cases

Peripancreatic tuberculous lymphadenitis is rare and of difficult diagnosis. The two cases described illustrate two clinical aspects according to the proximity of the biliary tract: either anterior lymph nodes responsible for obstructive jaundice, or posterior lymph nodes responsible for chronic epi...

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Bibliographic Details
Published in:	La Presse médicale (1983) Vol. 15; no. 44; p. 2201
Main Authors:	Pierrugues, R, Bories, P, Marrel, E, Barneon, G, Michel, H
Format:	Journal Article
Language:	French
Published:	France 13-12-1986
Subjects:	Cholangiopancreatography, Endoscopic Retrograde Diagnosis, Differential Female Humans Male Middle Aged Pancreatic Diseases - diagnosis Pancreatic Neoplasms - diagnosis Tomography, X-Ray Computed Tuberculosis, Lymph Node - diagnosis
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Summary:	Peripancreatic tuberculous lymphadenitis is rare and of difficult diagnosis. The two cases described illustrate two clinical aspects according to the proximity of the biliary tract: either anterior lymph nodes responsible for obstructive jaundice, or posterior lymph nodes responsible for chronic epigastric pain. Endoscopic retrograde cholangiopancreatography is essential to exclude a pancreatic lesion and facilitate the interpretation of the CT images. Tuberculosis must then be suspected. In the absence of another tuberculous localisation, laparotomy is necessary to assert the diagnosis. Antituberculous chemotherapy alone, administered for 9 to 12 months, cures this form of tuberculous lymphadenitis.
ISSN:	0755-4982