췌장의 종양으로 오인된 췌장주변 결핵 림프절병증: 1예 보고

Peripancreatic Tuberculous Lymphadenopathy Mimicking Pancreatic Neoplasm: A Case Report

  • 배경은 (인제대학교 의과대학 상계백병원 영상의학과) ;
  • 조현선 (인제대학교 의과대학 상계백병원 영상의학과)
  • Bae, Kyung-Eun (Department of Radiology, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Cho, Hyun-Sun (Department of Radiology, Sanggye Paik Hospital, Inje University College of Medicine)
  • 발행 : 2011.06.01

초록

췌장주변 림프절만을 침범한 결핵 림프절병증은 매우 드문 질환이며, 흔히 영상의학적 진단을 내리는데 어려움을 줄 수 있다. 저자들은 췌장의 낭성종양으로 오인되었으나 수술로 췌장주변 결핵 림프절병증으로 진단된 1예를 경험하였기에, 이의 영상의학적 소견에 대해 기술하고자 한다.

Peripancreatic tuberculosis affecting only the lymph nodes is a rare clinical entity which usually raises serious diagnostic problems. We experienced a case of surgically proven peripancreatic tuberculous lymphadenopathy mimicking pancreas cystic neoplasm and report here on the findings of this rare condition along with a literature review.

키워드

참고문헌

  1. Ilhan E, Erakan N, Yildirim M, Polat AF, Cirak K, Sezgin A. Diagnostic difficulties in peripancreatic tuberculous lymphadenitis: a case report. Turk J Gastroenterol 2005;17:137-139
  2. Sinan T, Sheikh M, Ramadan S, Sahwney S, Behbehani A. CT features in abdominal tuberculosis: 20 years experience. BMC Med Imaging 2002;2:3 https://doi.org/10.1186/1471-2342-2-3
  3. Sen M, Turan M, Karadayi K, Aslan M, Elagoz S. Peripancreatic tuberculous lymphadenitis mimicking carcinoma: report of a case. Acta Chir Belg 2004;104:338-340 https://doi.org/10.1080/00015458.2004.11679568
  4. Kim SY, Kim MJ, Chung JJ, Lee JT, Yoo HS. Abdominal tuberculous lymphadenopathy: MR imaging findings. Abdom Imaging 2000;25:627-632 https://doi.org/10.1007/s002610000120
  5. Pereira JM, Madureira AJ, Vieira A, Ramos I. Abdominal tuberculosis: imaging features. Eur J Radiol 2005;55:173-180 https://doi.org/10.1016/j.ejrad.2005.04.015
  6. Akhan O, Pringot J. Imaging of abdominal tuberculosis. Eur Radiol 2002;12:312-323 https://doi.org/10.1007/s003300100994
  7. Turan M, Sen M, Koyuncu A, Aydin C, Elaldi N, Arici S. Pancreatic pseudotumor due to peripancreatic tuberculous lymphadenitis. Pancreatology 2002;2:561-564 https://doi.org/10.1159/000066097
  8. Weiss ES, Klein WM, Yeo CJ. Peripancreatic tuberculosis mimicking pancreatic neoplasia. J Gastrointest Surg 2005;9:254-262 https://doi.org/10.1016/j.gassur.2004.06.010
  9. Cherian JV, Somasundaram A, Ponnusamy RP, Venkataraman J. Peripancreatic tuberculous lymphadenopathy. An impostor posing diagnostic difficulty. JOP 2007;8:326-329
  10. Aston NO. Abdominal tuberculosis. World J Surg 1997;21:492-499 https://doi.org/10.1007/PL00012275