1990 Volume 51 Issue 3 Pages 567-572
A 31-year-old male complining of yellow-brown urine was suspected to have a choledocal narrowing due to pericholedocal mass by abdominal CT and PTC. Laparotomy revealed inoperable because the tumor invaded the pancreas head as well as portal vein. PTCD tube was indwelled, and 5000rad of 60Co was irradiated. Three years later after his discharge, chest X-ray film disclosed tuberculous cavities in the bilateral apex of the lung, which disappeared by antituberculous drugs. Further examination and retrospective analysis led us to the conclusion that choledocal stricture was not due to the malignant disease but to tuberculous pericholedocal lymphadenitis. Four years later after the initial operation, the choledocal stricture was dilated with Regiflex balloon catheter and PTCS tube, and the permanent PTCD tube with a diameter of 20b Fr was implanted. The patient also has been administered antituberculous drugs and has been well until now. We have reported a case of choledocal stricture due to tuberculous lymphadenitis, which is very rare and only 6 cases have been previously reported in Japan.
