Lafay J P, Fouet P
Gastroenterol Clin Biol. 1983 Nov;7(11):915-8.
The authors report the case of a 26 year old man who presented with jaundice after an operation for peritoneal and ileal tuberculosis. Abdominal sonography, CT Scan and endoscopic retrograde cholangio-pancreatography showed that the jaundice was due to the compression of the common bile duct by tuberculous lymph nodes. This compression disappeared after spontaneous fistulisation into the common bile duct. The review of the literature shows that this localisation of tuberculous lymphadenitis is uncommon and is rarely diagnosed before laparotomy. Antituberculous therapy alone is generally not sufficient and should be associated with surgical treatment.
作者报告了一例26岁男性患者，该患者在接受腹膜和回肠结核手术后出现黄疸。腹部超声、CT扫描和内镜逆行胰胆管造影显示，黄疸是由结核性淋巴结压迫胆总管所致。这种压迫在结核性淋巴结自发形成通向胆总管的瘘管后消失。文献回顾表明，结核性淋巴结炎的这种定位并不常见，在剖腹手术前很少被诊断出来。单独的抗结核治疗通常是不够的，应与手术治疗相结合。
