J Korean Soc Radiol.  2011 Jun;64(6):577-581. 10.3348/jksr.2011.64.6.577.

Peripancreatic Tuberculous Lymphadenopathy Mimicking Pancreatic Neoplasm: A Case Report

• Bae KE
• Cho HS

• KMID: 1443507
• DOI: http://doi.org/10.3348/jksr.2011.64.6.577

Abstract

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.

MeSH Terms

Lymph Nodes
Lymphatic Diseases
Pancreas
Tuberculosis

Figure

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  Fig. 1 Pancreatobiliary CT scan shows a 6 cm-sized, lobulating contoured mass in the pancreas head. A. Precontrast phase : a low attenuated mass with peripheral calcification and an internal highly attenuated lesion is identified. B-D. Pancreastic, portal and delayed phase: peripheral enhancement of cystic mass is noted.

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  Fig. 2 Abdominal sonography shows a lobulating-contoured, heterogeneously low echoic mass (arrowhead) with internal calcification (arrow) with multiple septa in the pancreas head.

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  Fig. 3 ERCP shows normal main pancreatic duct (arrow).

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  Fig. 4 Angiography shows the displacement of the common hepatic artery and proper hepatic artery (A, arrow) and main portal vein with an intact vascular wall (B, arrow).

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  Fig. 5 Histophathogical examination revealing Langhans type giant cells (arrow) (H & E stain, ×200).

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