Biliary Tuberculosis Misdiagnosed as Periampullary Carcinoma：a Case Report and Literature Review
HE Yan-an
DING Hui
CAI Min
ZENG Yong
CAI Yu
HE Yong-hong
Abstract：Objective To explore clinical characteristics and experience in diagnosis and treatment of biliary tubercu-losis (BTB) in order to avoid misdiagnosis and mistreatment. Methods Clinical data of a patient with BTB misdiagnosed as having periampullary carcinoma was retrospectively analyzed, and related literature was reviewed. Results The patient was admitted for abdominal gas pain for one month and aggravated abdominal pain combined with jaundice for 6 days. Irregularity occupying lesions in pancreatic head, enlargement gallbladder and choledochectasia were found by color Doppler ultrasonogra-phy examination, and enlarged duodenohepatic ligament of lymph node was found by CT scan. Periampullary carcinoma was diagnosed, and pancreatoduodenectomy was performed, and then choledochus segment inferior tuberculosis was confirmed by postoperative pathological result. The patient received postoperative anti-tubercular therapy (ATT), and did not have recur-rence with follow-up for 2 year. Conclusion BTB is rare and may be easily misdiagnosed, and examinations of pathology and microbiology are the preferred diagnostic methods.
Keywords：TuberculosisbiliaryJaundiceMisdiagnosisMalignant tumor
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 42-44 )