[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.
Inoue
Y
Y
Department of Internal Medicine, Nagasaki Municipal Medical Center, Japan.
Kanamori
Y
Y
Miura
N
N
Watanabe
T
T
Watanabe
K
K
Nakamura
N
N
Tutumi
T
T
Murata
I
I
Kouno
S
S
Hirano
T
T
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