Vijayaraghavan R, Chandrashekar R, A Saraswathi, Belagavi C S
Department of General & Laparoscopic Surgery, RMV Hospital, Bangalore, Karnataka, India.
BMJ Case Rep. 2011 Dec 1;2011:bcr1020114945. doi: 10.1136/bcr.10.2011.4945.
An adolescent boy underwent laparoscopic evaluation with persisting fever associated with colicky abdominal pain of about 3 weeks duration after a CT study of his abdomen revealed mesenteric adenopathy. Histopathological evaluation of the excised mesenteric nodes showed features of histiocytic necrotising lymphadenopathy suggestive of Kikuchi-Fujimoto lymphadenopathy which was confirmed on immunehistochemistry staining. Kikuchi-Fujimoto's disease involving the mesenteric nodes is extremely unusual and can be confounding with a mistaken diagnosis of and prolonged treatment for tuberculosis. The authors present a case of Kikuchi-Fujimoto's disease involving the mesenteric lymph nodes and discuss the various aspects of diagnosis and management of the case along with a review of published literature.
一名青少年男性在腹部CT检查显示肠系膜淋巴结病后,持续发热伴绞痛性腹痛约3周,遂接受腹腔镜评估。切除的肠系膜淋巴结组织病理学评估显示组织细胞坏死性淋巴结病特征,提示为菊池-藤本病,免疫组化染色得以证实。累及肠系膜淋巴结的菊池-藤本病极为罕见,可能会与结核病的误诊和长期治疗相混淆。作者报告了一例累及肠系膜淋巴结的菊池-藤本病病例,并结合已发表文献回顾,讨论了该病例诊断和管理的各个方面。