Tuberculosis of the cystic duct lymph node.
Tuberculosis of the cystic duct lymph node associated with cholelithiasis is rare. We report a case of a 40 year-old woman with this pathology. She presented with anorexia, biliary colic, postprandial fullness and fever. Imaging studies revealed cholelithiasis and several visible portal lymph nodes. Cholecystectomy was performed and histopathological examination showed tuberculosis of the cystic duct lymph node without affecting the gallbladder. The presence of gallstones and lymphadenopathy in computed tomography, associated with persistent fever and symptoms that resemble cholecystitis, should cause suspicion of tuberculosis. However, diagnosis is usually achieved by microscopic appearance of caseating granulomas and isolation of Mycobacterium tuberculosis. The treatment in this case consisted of cholecystectomy and antitubercular chemotherapy.
de Melo
Valdinaldo Aragão
VA
Department of Medicine, Federal University of Sergipe, Aracaju, SE, Brazil. vamelo@infonet.com.br
de Melo
Gustavo Barreto
GB
Silva
Renata Lemos
RL
Piva
Nestor
N
Almeida
Maria Luiza Dória
ML
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D001649:Bile Duct Diseases / Q000150:complications* / Q000188:drug therapy; D002769:Cholelithiasis / Q000150:complications* / Q000601:surgery; D003549:Cystic Duct; D005260:Female; D006801:Humans; D012720:Severity of Illness Index; D014388:Tuberculosis, Lymph Node / Q000150:complications* / Q000188:drug therapy
D000995:Antitubercular Agents