A case of tuberculous lymphadenitis found as an abdominal mass penetrating the duodenum

Kayoko Tokiwa, Shigenari Hozawa, Seiichirou Kojima, Keinji Kobayashi, Kenichi Watanabe, Tetsuya Mine, Hiroshi Kijima, Yutaka Imai, Hayato Miyachi

Research output: Contribution to journalArticle

Abstract

A 42-year-old woman who complained of epigastralgia was referred to our hospital because of an abdominal mass found by ultrasonography. CT and MRI scans revealed that the abdominal mass, 4 cm in diameter, located on the left side of the right kidney. Gastroduodenoscopy detected a deep ulcerative lesion covered with a yellowish coat in the second portion of duodenum. A sonolucent area at the bottom of the ulcerative lesion seemed to expend to the abdominal mass on ultrasonic endoscopy. Tuberculosis was one possible differential diagnosis. Pathological examination including Ziehl-Neelsen staining using biopsy specimens taken from the bottom of the ulcerative lesion did not show tuberculosis infection. However, polymerase chain reaction analysis using the biopsy specimens revealed that gene expression of tuberculosis was positive. We determined that tuberculous lymphadenitis penetrated the duodenum forming an ulcerative lesion in the duodenum. The administration of anti-tubercular medicine for 6 months male the abdominal mass disappeare and the duodenal ulcerative lesion formed an ulcer scar. We report here a case of tuberculous lymphadenitis penetrating the duodenum which was successfully treated by conservative therapy without surgical treatment.

Original languageEnglish
Pages (from-to)948-954
Number of pages7
JournalJapanese Journal of Gastroenterology
Volume103
Issue number8
Publication statusPublished - 2006

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Lymph Node Tuberculosis
Duodenum
Tuberculosis
Biopsy
Endosonography
Ulcer
Cicatrix
Ultrasonography
Differential Diagnosis
Magnetic Resonance Imaging
Medicine
Staining and Labeling
Kidney
Gene Expression
Polymerase Chain Reaction
Infection

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Tokiwa, K., Hozawa, S., Kojima, S., Kobayashi, K., Watanabe, K., Mine, T., ... Miyachi, H. (2006). A case of tuberculous lymphadenitis found as an abdominal mass penetrating the duodenum. Japanese Journal of Gastroenterology, 103(8), 948-954.

A case of tuberculous lymphadenitis found as an abdominal mass penetrating the duodenum. / Tokiwa, Kayoko; Hozawa, Shigenari; Kojima, Seiichirou; Kobayashi, Keinji; Watanabe, Kenichi; Mine, Tetsuya; Kijima, Hiroshi; Imai, Yutaka; Miyachi, Hayato.

In: Japanese Journal of Gastroenterology, Vol. 103, No. 8, 2006, p. 948-954.

Research output: Contribution to journalArticle

Tokiwa, K, Hozawa, S, Kojima, S, Kobayashi, K, Watanabe, K, Mine, T, Kijima, H, Imai, Y & Miyachi, H 2006, 'A case of tuberculous lymphadenitis found as an abdominal mass penetrating the duodenum', Japanese Journal of Gastroenterology, vol. 103, no. 8, pp. 948-954.
Tokiwa, Kayoko ; Hozawa, Shigenari ; Kojima, Seiichirou ; Kobayashi, Keinji ; Watanabe, Kenichi ; Mine, Tetsuya ; Kijima, Hiroshi ; Imai, Yutaka ; Miyachi, Hayato. / A case of tuberculous lymphadenitis found as an abdominal mass penetrating the duodenum. In: Japanese Journal of Gastroenterology. 2006 ; Vol. 103, No. 8. pp. 948-954.
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