Abstract
Case 1: A 44-year-old man was admitted to the hospital because of fever, jaundice and abdominal pain. Abdominal ultrasonography showed swelled peripancreatic lymph nodes and dilatation of the biliary tract. Lymph node metastasis of pancreatic cancer or malignant lymphoma was suspected and a laparotomy was performed. Bulky peripancreatic mass formed by hardened lymph nodes was detected and the intraoperative histopathology of the mass revealed tuberculous lymphadenitis.
Case 2: A 20-year-old female was admitted to the hospital because of swelled lymph nodes on the left side of the neck. CT scan showed swelled peripancreatic lymph nodes and huge left psoas abscess. PPD was strongly positive. Biopsy of the left cervical lymph node and aspiration cytology of the left psoas abscess confirmed the presence of tuberculosis. Tuberculosis markedly decreased due to the progress of antituberculous chemotherapy. Recently this disease, however, has been gradually increasing again. These two cases remind us of the importance to entertain the presence of tuberculosis as a possible differential diagnosis, when a patient having a swelling of peripancreatic lymph node is encountered.
