Peripancreatic tuberculous lymphadenitis mimicking pancreatic cancer

ŞARE, Mustafa; OKTAR, Özhan Suna; KARAOSMANOĞLU, Devrim; ARAÇ, Mehmet; KÖKTENER, Aslı

Peripancreatic tuberculous lymphadenitis mimicking pancreatic cancer

Özhan Suna OKTAR, (Gazi Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Ankara, Türkiye)

Devrim KARAOSMANOĞLU, (Gazi Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Ankara, Türkiye)

Mehmet ARAÇ, (Gazi Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Ankara, Türkiye)

Mustafa ŞARE, (Gazi Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Ankara, Türkiye)

Aslı KÖKTENER (Fatih Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Ankara, Türkiye)

Gazi Medical Journal

1 0

Yıl: 2004 Cilt: 15 Sayı: 3 Sayfa Aralığı: 115 - 118 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Peripancreatic tuberculous lymphadenitis mimicking pancreatic cancer

Öz:

Peripankreatik lenf nodlarının izole tutulumu, tüberkülozun çok nadir bulgularından biridir. Bu yazıda, blier obstrüksiyona neden olan pankreatik kitle seklinde presente olan bir tüberküloz lenfadenitin BT (Bilgisayarlı Tomografi) bulgularını tanımladık. Çok nadir olmasında rağmen, tüberküloz lenfadeniti bilier obstrüktif semptomlarla gelen genç erişkin hastalarda, özellikle dünyanın endemik bölgelerinde, ayırıcı tanıda akılda tutulmalıdır.

Anahtar Kelime: Tomografi, x-ışınlı bilgisayarlı Tüberküloz, lenf düğümü Pankreas neoplazmları

Konular: Genel ve Dahili Tıp

Pankreas kanserini taklit eden peripankreatik tüberküloz lenfadeniti

Öz:

Isolated involvement of peripancreatic lymph nodes is a very rare manifestation of tuberculosis. We report the computed tomography (CT) findings of tuberculous lymphadenitis presenting as a pancreatic mass causing biliary obstruction. Although very rare, tuberculosis lymphadenitis should be considered in young adults presenting with biliary obstructive symptoms, especially in endemic parts of the world.

Anahtar Kelime: Tuberculosis, Lymph Node Pancreatic Neoplasms Tomography, X-Ray Computed

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

1. Hashimato M, Koyama H, Noiei T, Shiayama K Kitamura N. Abdominal tuberculoma mimicking a pancreatic neoplasm: Report of a ease. Surg Today 1995; 25: 365-368,
2. Manohar A, Simjee AE, Haffejee AA, Fettengel KE: Symptoms and investigative findings in 145 patients with tuberculous peritonitis diagnosed by peritoneoscopy and biopsy over a 5-year period. Gut 1990; 31: 1130-1132.
3. Bhansali SK Abdominal tuberculosis: experiences with 300 cases. Am J Gastroenterol 1977; 67: 324337.
4. Hulnick DH. Megibow AJ, Naidich DP, Hilton S, Cho KC, Balthazar EJ. Abdominal tuberculosis: CT evaluation. Radiology 1985; 157: 199-204.
5. Stanley JH, Yantis PL, Marsh WH. Periportal tuberculous adenitis: a rare cause of obstructive jaundice. Gastrointest Radiol 1984; 9: 227-229.
6. Mathieu D, Ladeb MF, Guigui B, Rousseau M, Vasile N. Periportal tuberculous adenitis: CT features. Radiology 1986; 161: 713-715.
7. Turan M, Sen M, Koyuncu A, Aydin C, Elaldi N. Arici S. Pancreatic pseudotumor due to peripancreatic tuberculous lympadenitis. Pancreatology 2002; 2: 561-564.
8. Akhan O, Pringot J. Imaging of abdominal tuberculosis. Eur Radiol 2002; 12: 312-323.
9. Denton T, Hossain J. A radiological study of abdominal tuberculosis in a Saudi population, with special reference to ultrasound and computed tomography. Clin Radiol 1993; 47: 409-414.
10. Ramaiya LI, Walter DF, Walter R. Sonographic features of tuberculous peritonitis. Abdom Imaging 1993, 18: 2326.
11. Caroli-Bosc FX, Conio M, Maes B, Chevallier P. Hastier P, Delmont JP. Abdominal tuberculosis involving hepatic hilar lymph nodes. J Clin Gastroenterol 1997; 25:541543.
12. Marshall JB, Tuberculosis of the gastrointestinal tract and peritoneum. Am J Gastroenterol 1993; 88: 989-997.
13. Desai DC, Swaroop VS, Mohandas KM, Barges A, Dhir V, Nagral A, Jagannath P, Sharma OR Tuberculosis of the pancreas: reportof three cases. Am J Gastroenterol 1991; 86: 761-763.
14. Chen CH. Yang CC, Yeh YH, Yang JC, Chau DA. Pancreatic tuberculosis with obstructive jaundice: a case report: Am J Gastroenterol 1999; 94: 25342536.
15. Farer LS, Lowell AM, Meador MP. Extrapulmonary tuberculosis in the United States. Am J Epidemiol 1979; 109: 205-217.

APA	OKTAR Ö, KARAOSMANOĞLU D, ARAÇ M, ŞARE M, KÖKTENER A (2004). Peripancreatic tuberculous lymphadenitis mimicking pancreatic cancer. , 115 - 118.
Chicago	OKTAR Özhan Suna,KARAOSMANOĞLU Devrim,ARAÇ Mehmet,ŞARE Mustafa,KÖKTENER Aslı Peripancreatic tuberculous lymphadenitis mimicking pancreatic cancer. (2004): 115 - 118.
MLA	OKTAR Özhan Suna,KARAOSMANOĞLU Devrim,ARAÇ Mehmet,ŞARE Mustafa,KÖKTENER Aslı Peripancreatic tuberculous lymphadenitis mimicking pancreatic cancer. , 2004, ss.115 - 118.
AMA	OKTAR Ö,KARAOSMANOĞLU D,ARAÇ M,ŞARE M,KÖKTENER A Peripancreatic tuberculous lymphadenitis mimicking pancreatic cancer. . 2004; 115 - 118.
Vancouver	OKTAR Ö,KARAOSMANOĞLU D,ARAÇ M,ŞARE M,KÖKTENER A Peripancreatic tuberculous lymphadenitis mimicking pancreatic cancer. . 2004; 115 - 118.
IEEE	OKTAR Ö,KARAOSMANOĞLU D,ARAÇ M,ŞARE M,KÖKTENER A "Peripancreatic tuberculous lymphadenitis mimicking pancreatic cancer." , ss.115 - 118, 2004.
ISNAD	OKTAR, Özhan Suna vd. "Peripancreatic tuberculous lymphadenitis mimicking pancreatic cancer". (2004), 115-118.

APA	OKTAR Ö, KARAOSMANOĞLU D, ARAÇ M, ŞARE M, KÖKTENER A (2004). Peripancreatic tuberculous lymphadenitis mimicking pancreatic cancer. Gazi Medical Journal, 15(3), 115 - 118.
Chicago	OKTAR Özhan Suna,KARAOSMANOĞLU Devrim,ARAÇ Mehmet,ŞARE Mustafa,KÖKTENER Aslı Peripancreatic tuberculous lymphadenitis mimicking pancreatic cancer. Gazi Medical Journal 15, no.3 (2004): 115 - 118.
MLA	OKTAR Özhan Suna,KARAOSMANOĞLU Devrim,ARAÇ Mehmet,ŞARE Mustafa,KÖKTENER Aslı Peripancreatic tuberculous lymphadenitis mimicking pancreatic cancer. Gazi Medical Journal, vol.15, no.3, 2004, ss.115 - 118.
AMA	OKTAR Ö,KARAOSMANOĞLU D,ARAÇ M,ŞARE M,KÖKTENER A Peripancreatic tuberculous lymphadenitis mimicking pancreatic cancer. Gazi Medical Journal. 2004; 15(3): 115 - 118.
Vancouver	OKTAR Ö,KARAOSMANOĞLU D,ARAÇ M,ŞARE M,KÖKTENER A Peripancreatic tuberculous lymphadenitis mimicking pancreatic cancer. Gazi Medical Journal. 2004; 15(3): 115 - 118.
IEEE	OKTAR Ö,KARAOSMANOĞLU D,ARAÇ M,ŞARE M,KÖKTENER A "Peripancreatic tuberculous lymphadenitis mimicking pancreatic cancer." Gazi Medical Journal, 15, ss.115 - 118, 2004.
ISNAD	OKTAR, Özhan Suna vd. "Peripancreatic tuberculous lymphadenitis mimicking pancreatic cancer". Gazi Medical Journal 15/3 (2004), 115-118.