KIMURAS-DISEASE CAUSING BILIARY OBSTRUCTION

A 3 1/2-year-old boy presented with recurrent episodes of severe abdom inal pain, fever, and jaundice. During these episodes, his liver and g allbladder were enlarged and there was a left axillary soft-tissue swe lling. Laparotomy revealed a retroperitoneal mass causing biliary obst ruction. Biopsy of this mass and the axillary swelling was suggestive of Kimura's disease. Subsequently, the child developed a facioparotid mass typical of Kimura's disease. There was dramatic regression with s teroids.