Martinon F, Aurousseau R
J Chir (Paris). 1976 Sep;112(5):145-52.
Tuberculosis of the hepatic lymph nodes is among the rare causes of obstructive jaundice and portal hypertension. The authors report a case of compression of the bile duct by retroduodeno-pancreatic tuberculous lymphadenopathy, and recall the difficulty of diagnosis before operation. They emphasize the necessity of simple surgical measures. Removal of the lymph nodes is dangerous and should not be attempted. A biliary by-pass operation should be carried out and its type depends on the precise site of the compression. Antituberculous drugs are then given for 18 months after operation and lead to cure.
肝门淋巴结结核是梗阻性黄疸和门静脉高压的罕见病因之一。作者报告了一例十二指肠后胰腺结核性淋巴结病压迫胆管的病例，并回顾了术前诊断的困难。他们强调了简单手术措施的必要性。切除淋巴结危险，不应尝试。应进行胆肠吻合术，其类型取决于压迫的确切部位。术后给予抗结核药物治疗18个月可治愈。
