Abstract
Isolated periportal tuberculous lymphadenopathy is a rare clinical entity. This report describes a 56-year-old woman with the disease, who showed characteristic findings on clinical imaging studies. Computed tomography showed a low-density mass with peripheral enhancement and calcification, adjacent to the pancreatic head and caudate lobe of the liver. 2-[Fluorine 18]fluoro-2-deoxy-d-glucose positron emission tomography imaging co-registered with computed tomography showed slightly increased uptake along the periphery of the lesion. The diagnosis was confirmed at laparotomy. The manifestation of the disease is nonspecific, and preoperative differential diagnosis from neoplastic disease is often difficult. Its clinical and radiological features are briefly reviewed.
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Frieden TR, Sterling TR, Munsiff SS, Watt CJ, Dye C. Tuberculosis. Lancet 2003;362:887–899.
Shafer RW, Edlin BR. Tuberculosis in patients infected with human immunodeficiency virus: Perspective on the past decade. Clin Infect Dis 1996;22:683–704.
Uygur-Bayramicli O, Dabak G, Dabak R. A clinical dilemma: Abdominal tuberculosis. World J Gastroenterol 2003;9:1098–1101.
Hassan I, Brilakis ES, Thompson RL, Que FG. Surgical management of abdominal tuberculosis. J Gastrointest Surg 2002;6:862–867.
Malik A, Saxena NC. Ultrasound in abdominal tuberculosis. Abdom Imaging 2003;28:574–579.
Yang ZG, Min PQ, Sone S, He ZY, Liao ZY, Zhou XP, Yang GQ, Silverman PM. Tuberculosis versus lymphomas in the abdominal lymph nodes: Evaluation with contrast-enhanced CT. AJR Am J Roentgenol 1999;172:619–623.
Caroli-Bosc FX, Conio M, Maes B, Chevallier P, Hastier P, Delmont JP. Abdominal tuberculosis involving hepatic hilar lymph nodes. A cause of portal vein thrombosis and portal hypertension. J Clin Gastroenterol 1997;25:541–543.
Kim SY, Kim MJ, Chung JJ, Lee JT, Yoo HS. Abdominal tuberculous lymphadenopathy: MR imaging findings. Abdom Imaging 2000;25:627–632.
Goo JM, Im JG, Do KH, Yeo JS, Seo JB, Kim HY, Chung JK. Pulmonary tuberculoma evaluated by means of FDG PET: Findings in 10 cases. Radiology 2000;216:117–121.
Yang CM, Hsu CH, Lee CM, Wang FC. Intense uptake of [F-18]-fluoro-2 deoxy-D-glucose in active pulmonary tuberculosis. Ann Nucl Med 2003;17:407–410.
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Hosaka, A., Masaki, Y., Yamasaki, K. et al. Isolated Periportal Tuberculosis: Characteristic Findings of Clinical Imaging. J Gastrointest Surg 12, 779–781 (2008). https://doi.org/10.1007/s11605-007-0306-9
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DOI: https://doi.org/10.1007/s11605-007-0306-9