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Pediatric Radiology
Published in: Pediatric Radiology 11/2014

01-11-2014 | Case Report

Abdominal tuberculosis with periportal lymph node involvement mimicking pancreatic malignancy in an immunocompetent adolescent

Authors: Yeoun Joo Lee, Jae-Yeon Hwang, Su-Eun Park, Yong-Woo Kim, Jun Woo Lee

Published in: Pediatric Radiology | Issue 11/2014

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Abstract

Abdominal tuberculosis manifesting as isolated lymphadenopathy is rare, particularly in children. Tuberculous involvement of the pancreatic head and peripancreatic area can simulate a neoplasm of the pancreatic head. To our knowledge, obstructive jaundice caused by tuberculous lymphadenopathy has not been reported in children or adolescents. Here we present radiologic findings in a case of tuberculous lymphadenopathy that mimicked malignancy of the pancreatic head and caused obstructive jaundice in an immunocompetent adolescent.
Literature
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Andronikou S, Welman CJ, Kader E (2002) The CT features of abdominal tuberculosis in children. Pediatr Radiol 32:75–81PubMedCrossRef
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Colovic R, Grubor N, Jesic R et al (2008) Tuberculous lymphadenitis as a cause of obstructive jaundice: a case report and literature review. World J Gastroenterol 14:3098–3100PubMedCrossRefPubMedCentral
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Barquilla-Cordero P, Chiquero-Palomo M, Martin-Noguerol E et al (2010) Primary pancreatic tuberculosis in an immunocompetent patient: first case report in Spain. Gastroenterol Hepatol 33:582–585PubMedCrossRef
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Obama K, Kanai M, Taki Y et al (2003) Tuberculous lymphadenitis as a cause of obstructive jaundice: report of a case. Surg Today 33:229–231PubMedCrossRef
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Kim SJ, Kim WS, Cheon JE et al (2009) Inflammatory myofibroblastic tumors of the abdomen as mimickers of malignancy: imaging features in nine children. AJR Am J Roentgenol 193:1419–1424PubMedCrossRef
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De Backer AI, Mortele KJ, Deeren D et al (2005) Abdominal tuberculous lymphadenopathy: MRI features. Eur Radiol 15:2104–2109PubMedCrossRef
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Kim SY, Kim MJ, Chung JJ et al (2000) Abdominal tuberculous lymphadenopathy: MR imaging findings. Abdom Imaging 25:627–632PubMedCrossRef
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Metadata
Title
Abdominal tuberculosis with periportal lymph node involvement mimicking pancreatic malignancy in an immunocompetent adolescent
Authors
Yeoun Joo Lee
Jae-Yeon Hwang
Su-Eun Park
Yong-Woo Kim
Jun Woo Lee
Publication date
01-11-2014
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Radiology / Issue 11/2014
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-014-2997-x

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