Castleman disease presenting as obstructive jaundice.
A 48-year-old Saudi male was admitted with features of obstructive jaundice. Endoscopic retrograde cholangiopancreatography showed stricture in distal common bile duct CBD. Computed tomography scan revealed lymphadenopathy along CBD and in porta hepatis. Cholangiocarcinoma, lymphoma or metastatic deposits were suspected but no definite preoperative diagnosis could be established. Laparotomy disclosed lymph node enlargement in porta hepatis and along the CBD and lesser curvature of the stomach. Triple bypass procedure was performed to relieve the obstruction. Pathological examination of the lymph nodes showed Castleman disease of hyaline vascular type.
Al-Salamah
Saleh M
SM
King Saud University Unit, Riyadh Medical Complex, PO Box 31168, Riyadh 11497, Kingdom of Saudi Arabia. smsalamah@hotmail.com
Khan
Iftikhar A
IA
Khalid
Kamran
K
Al-Shakweer
Wafaa A
WA
D005871:Castleman Disease / Q000150:complications / Q000175:diagnosis*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed