1998 Volume 59 Issue 5 Pages 1389-1392
A 65-year-old woman was seen at the hospital because of abdominal discomfort and a mass in the right lower quadrant, came to our hospital. Leukocyte count was with normal limits, and abnormally high levels of CRP and ESR were noted. The abdominal tumor was about 4cm in diameter, which contained stone like shadow in its center. Right hemicolectomy was carried out on May 16, 1995, nevertheless we could not come to the definite diagnosis. Pathological findings revealed that the tumor was tuberculous mesenteric lymph nodes.
Tuberculous mesentric lymphadenitis often presents with abdominal tumor accompanied with slight inflammatory reaction, but it presents difficulty in preoperative diagnosis because of its variety in clinical manifestation. Therefore, we have to gain pathological diagnosis as soon as possible for making the therapeutic plan, when the abdominal mass is likely to be caused by tuberculosis.
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
