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Title of Journal: Clin J Gastroenterol

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Abbravation: Clinical Journal of Gastroenterology

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Springer Japan

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DOI

10.1007/10040476_358

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1865-7265

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A case of peripancreatic tuberculous lymphadenitis

Authors: Hiroto Furuhashi Hiroshi Abe Kai Yoshizawa Yuki Hirose Yukiko Miura Nobuyoshi Seki Tamihiro Miyazaki Tomonori Sugita Yuta Aida Munenori Itagaki Haruya Ishiguro Satoshi Sutoh Yoshio Aizawa
Publish Date: 2014/01/10
Volume: 7, Issue: 1, Pages: 68-73
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Abstract

Tuberculous lymphadenitis is a rare cause of obstructive jaundice Here we report the case of a 33yearold male with obstructive jaundice caused by tuberculous lymphadenitis around the pancreatic head The patient was born in China and had immigrated to Japan at 12 years of age He presented with acute abdominal pain and jaundice Findings from ultrasonography computed tomography and endoscopic retrograde cholangiopancreatography were suggestive of a stenosis of the distal common bile duct caused by multiple lowdensity masses around the pancreatic head with a contrastenhanced solid rim We successfully diagnosed the mass as tuberculous lymphadenitis using endoscopic ultrasoundguided fineneedle aspiration EUSFNA The patient was treated with antituberculous combination chemotherapy for 6 months and subsequently exhibited clinical improvement Thus we found that EUSFNA was a valuable minimally invasive method for diagnosing masses that cause icterus

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