[A case of tuberculous mesenteric lymphadenitis detected by abdominal symptom after 4 months' antituberculous chemotherapy against pulmonary tuberculosis].

Abstract

We reported a case of tuberculous mesenteric lymphadenitis. A twenty three year old man was admitted to our hospital with pulmonary tuberculosis on May, 1988. Chest X ray findings improved after 4 months' antituberculous chemotherapy, but he complained of right lower abdominal pain and a mass with tenderness. Barium series of gastro-intestinal tract showed evidence of extrinsic compression on the intestine. Abdominal CT showed rim enhancement and a multiloculated appearance, and the ultrasonography showed a hypoechoic mass. But we did not make a definite preoperative diagnosis, therefore exploratory operation was done. An abscess with caseous granuloma was found in the mesenteric lymphnodes removed at laparotomy.

• Authors: Y Inoue, Y Kanamori, N Miura, T Watanabe, K Watanabe, N Nakamura, T Tutumi, I Murata, S Kouno, T Hirano
• Journal: Kekkaku : [Tuberculosis] (Kekkaku) Vol. 66 Issue 8 Pg. 543-51 (Aug 1991) ISSN: 0022-9776 [Print] Japan
• PMID: 1921095 (Publication Type: Case Reports, English Abstract, Journal Article, Review)

Chemical References

• Antitubercular Agents

Topics

• Abdominal Pain (etiology)
• Adult
• Antitubercular Agents (therapeutic use)
• Humans
• Male
• Mesentery
• Tuberculosis, Lymph Node (complications, diagnosis)
• Tuberculosis, Pulmonary (drug therapy)