Pediatr Radiol DOI 10.1007/s00247-014-2997-x

CASE REPORT

Abdominal tuberculosis with periportal lymph node involvement mimicking pancreatic malignancy in an immunocompetent adolescent Yeoun Joo Lee & Jae-Yeon Hwang & Su-Eun Park & Yong-Woo Kim & Jun Woo Lee

Received: 23 December 2013 / Revised: 10 March 2014 / Accepted: 3 April 2014 # Springer-Verlag Berlin Heidelberg 2014

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.

Tuberculosis (TB) in the pancreatic head and peripancreatic area can simulate pancreatic head cancer and cause obstructive jaundice [2]; however there are few reports of this in children or adolescents. Here we report a case of abdominal TB manifesting as periportal lymph node enlargement in an immunocompetent adolescent who presented with epigastric pain and jaundice.

Case report Keywords Tuberculosis . Lymph node . Abdomen . Ultrasound . Computed tomography . Magnetic resonance imaging . Adolescent . Child

Introduction Tuberculosis (TB) rarely presents with abdominal involvement in children, except in the bowel; it most commonly manifests as nodal and solid organ involvement [1]. Y. J. Lee : S.

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

Abdominal tuberculosis manifesting as isolated lymphadenopathy is rare, particularly in children. Tuberculous involvement of the pancreatic head and p...
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