[A case of tuberculous mesenteric lymphadenitis detected by abdominal symptom after 4 months' antituberculous chemotherapy against pulmonary tuberculosis].
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.
Department of Internal Medicine, Nagasaki Municipal Medical Center, Japan.
Y
Y
Inoue
Y
Y
Kanamori
N
N
Miura
T
T
Watanabe
K
K
Watanabe
N
N
Nakamura
T
T
Tutumi
I
I
Murata
S
S
Kouno
T
T
Hirano
D015746:Abdominal Pain / Q000209:etiology*; D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008643:Mesentery; D014388:Tuberculosis, Lymph Node / Q000150:complications / Q000175:diagnosis*; D014397:Tuberculosis, Pulmonary / Q000188:drug therapy*
D000995:Antitubercular Agents