Retroperitoneal Tuberculous Lymphadenitis Mimicking a Pancreatic Head Tumor: Report of a Case

後腹腔淋巴腺結核疑似胰腺頭部腫瘤：－病例報告

林正仁(Cheng-Jen Lin) ； 王鴻源(Hung-Yuan Wang) ； 蘇世強(Shey-Chiang Su) ； 施壽全(Shou-Chan Shih) ； 高進祿(Chin-Roa Kao) ； 周孫衍(Sun-Yen Chou) ； 林錫泉(Shee-Chan Lin) ； 楊圳隆(Tsen-Lung Yang) ； 楊斐適(Fei-Shih Yang) ； 林雲南(Yun-Nan Lin)

《中華民國消化系醫學雜誌》 13卷1期 (1996/03) Pp. 40-45

https://doi.org/10.6557/GJTb.199603_13(1).0006

摘要

本病例報告是一28歲男性病患，因不明熱而住院，腹部超音波檢查發現在胰腺頭部位有一腫瘤，起初懷疑為胰腺頭部腫瘤，後經剖腹探查，發現在胰腺頭部附近有一腫大林巴腺，病理切片發現與淋巴線結核相符。病人在給予抗結核藥物治療後，發燒情形改善。本篇報告就後腹腔淋巴腺結核的臨床特徵，致病機轉及治療作一回顧及討論。

關鍵字

胰腺頭部腫瘤 ； 後腹腔淋巴腺結核

並列摘要

This reported case concerns a 28-year-old male suffering from fever of unknown origin. An intraabdominal tumor was found at the pancreatic head portion by ultrasonography. A pancreatic head tumor was suspected initially. Abdominal computed tomography and endoscopic ultrasonography also revealed a pancreatic head lesion. Laparotomy was performed later and an enlarged lymph node around the pancreatic head was noted. The pathology report was consistent with the diagnosis of tuberculous lymphadenitis. Anti-tuberculous therapy was given and the patient became afebrile. This case is the first that we have encountered. The clinical features, pathogenesis and treatment of the retroperitoneal tuberculous lymphadenitis are described with a brief review and discussion.

並列關鍵字

pancreatic head tumor ； retroperitoneal tuberculous lymphadenitis