Ictericia obstructiva secundaria a tuberculosis ganglionar del hilio hepático

Muinelo, Alejo Francisco Fernández; Vázquez, Manuel Serrano; Fernández, Sandra Núñez; Rojas, Purificación Pardo; Lorenzo, Francisco J. Gómez

doi:10.1016/j.ciresp.2012.04.023

Cited by 5 publications

(1 citation statement)

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“…Liver hilar lymphadenitis is uncommon and difficult to differentiate from other entities such as cholangiocarcinoma, and many cases require surgery, histology, and bacteriological confirmation to reach a definitive diagnosis. Only 11 resected cases, including the present case, with detailed information on patients with liver hilar lymphadenitis have been reported in the well-documented English literature [4–10] ( Table 1 ). To the best of our knowledge, this report is the first to describe liver hilar tuberculous lymphadenitis diagnosed by laparoscopic surgery.…”

Section: Discussionmentioning

confidence: 99%

Liver hilar tuberculous lymphadenitis successfully diagnosed by laparoscopic lymph node biopsy

Wakasugi

Tanemura

Mikami

et al. 2015

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Liver hilar tuberculous lymphadenitis successfully diagnosed by laparoscopic lymph node biopsy

Wakasugi

Tanemura

Mikami

et al. 2015

International Journal of Surgery Case Reports

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A case of liver hilar tuberculous lymphadenitis complicated by biliary stricture diagnosed by endoscopic ultrasound-guided fine-needle aspiration

Ando

Iwata

Yamazaki

et al. 2018

Clin J Gastroenterol

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This report describes a case of liver hilar tuberculous lymphadenitis complicated by biliary stricture, diagnosed with endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA). A 44-year-old woman was referred to our center for further evaluation of abnormal liver function tests. Abdominal ultrasound/contrast-enhanced computed tomography (CT) revealed a 15-mm hypovascular mass with a weakly enhanced margin at the liver hilum. Magnetic resonance cholangiopancreatography revealed dilatation of the intrahepatic bile ducts in the left lobe of liver and gradual narrowing of the left hepatic duct. Biliary stricture associated with enlarged hilar lymph nodes due to metastasis or malignant lymphoma was suspected, but calcification on chest CT and a positive T-SPOT test did not rule out tuberculosis. After transpapillary brush cytology of the bile duct stricture failed to confirm the diagnosis, EUS-FNA of hilar lymph nodes was performed and showed positive for the acid-fast bacillus and polymerase chain reaction for Mycobacterium tuberculosis DNA as well as epithelioid granulomas on pathological evaluation. Those findings led to a diagnosis of hilar tuberculous lymphadenitis. The patient is under treatment with antituberculosis drugs. Abdominal tuberculous lymphadenitis is rare and some cases diagnosed as lymphadenopathy of unknown origin have required surgery. EUS-FNA is a safe and minimally invasive diagnostic method in such cases.

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