Abdominal lymphadenopathy – tuberculosis mimicking classy clinicoradiological features of hodgkin's disease

Abdominal lymphadenopathy is regularly encountered clinical entity and planning a management on likely diagnosis may prove disastrous. In the present case, clinical features with CT findings of massive diffuse paraaortic, mesenteric and splenic group of lymph nodes, mass at the head of the pancreas, encasement of portal vein, gross splenomegaly and ascites added with suggestion from bone marrow biopsy almost clinched the diagnosis in favour of Hodgkin's disease. Biopsy, however turned the table topsy turvy by confirming these lymph nodes to be of tuberculous origin. Histopathology, thus remains a must tool of information to find a correct diagnosis as observed in this case.