복부 결핵성 임파선염에서의 초음파유도 흡침생검의 역할

Tuberculous lymphadenitis within the abdomen is uncommon, and diagnosis is difficult because symptoms are vague, signs nonspecific, and clinical tests often not conclusive. It may mimic a large variety of conditions including lymphoma or metastasis. Recenty we had experienced 4 cases of tuberculous lymphadenitis in the abdomen. Th diagnosis was obtained by ultrasonogrpahy guided fine needle aspiration biopsy, which was less invasive procedure than laparotomy. The clinical suspicions and the extent of the disease were made by abdominal ultrasonogroaphy and computerized tomography. Histologic examination showed granulomas in 2 of 4 cases, and acid-fast bacilli in 3 of 4 cases. All the patients received antituberculous chemotherapy with prompt clinical improvement.