Obstruction of Third Part of Duodenum due to Tuberculous Lymphadenitis

Extrinsic compression by tuberculous mesenteric nodes is the rarest form of duodenal obstruction. Herein we report case of obstruction of the third part of duodenum due to tuberculous lymphadenitis, the presentation of which resembled superior mesenteric artery syndrome. The limitations of clinical evaluation, radiology and endoscopy are stressed and value of laparotomy is highlighted.