Pierrugues R, Bories P, Marrel E, Barneon G, Michel H
Presse Med. 1986 Dec 13;15(44):2201-3.
Peripancreatic tuberculous lymphadenitis is rare and of difficult diagnosis. The two cases described illustrate two clinical aspects according to the proximity of the biliary tract: either anterior lymph nodes responsible for obstructive jaundice, or posterior lymph nodes responsible for chronic epigastric pain. Endoscopic retrograde cholangiopancreatography is essential to exclude a pancreatic lesion and facilitate the interpretation of the CT images. Tuberculosis must then be suspected. In the absence of another tuberculous localisation, laparotomy is necessary to assert the diagnosis. Antituberculous chemotherapy alone, administered for 9 to 12 months, cures this form of tuberculous lymphadenitis.
胰周结核性淋巴结炎罕见且诊断困难。所描述的两例病例根据胆道的 proximity 展示了两个临床方面：要么是导致梗阻性黄疸的前组淋巴结，要么是导致慢性上腹部疼痛的后组淋巴结。内镜逆行胰胆管造影对于排除胰腺病变和便于解读 CT 图像至关重要。此时必须怀疑结核病。在没有其他结核定位的情况下，需要进行剖腹手术以确诊。单独给予 9 至 12 个月的抗结核化疗可治愈这种形式的结核性淋巴结炎。
原文中“proximity”疑有误，可能是“proximity”，应是“毗邻关系”之类的意思，但按要求未做修改直接翻译。
