Imaging of malignancy-suspected pancreatic involvement of extrapulmonary tuberculosis.
Imaging of malignancy-suspected pancreatic involvement of extrapulmonary tuberculosis.
复制标题
疑似恶性肿瘤的肺外结核胰腺受累的影像学。
DOI：
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发表时间：
2010
期刊：
影响因子：
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通讯作者：
A. Tosun
中科院分区：
文献类型：
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作者：
S. Tosun;A. Tosun
肺外结核由于其表现而名声不佳。诊断延误或误诊会对治疗产生负面影响。它的发病率低，很容易模仿其他非感染性腹部疾病，因此在鉴别诊断中是必要的。我们报告一位45岁男性以阻塞性黄疸、夜间发烧及腹痛表现，并描述其重复的影像学发现。影像学技术显示腹膜后肿块边界不规则。肺外结核的诊断后，剖腹活检。在腹膜后肿块的影像学检查中，我们认为腹腔内结核应列入鉴别诊断，特别是在流行地区，以避免不必要的严重外科手术。在这种情况下，我们研究了胰腺头部肿块的序列相位对比动态磁共振成像;肝脓肿和胆管炎的并发症，手术后发展从来没有报告伴随结核病。
Extrapulmonary tuberculosis has a poor reputation because of its manifestations. Diagnostic delays or misdiagnosis negatively impact treatment. It has a low incidence and can easily mimic other noninfectious abdominal diseases, which are therefore necessary in the differential diagnosis. We report a 45-year old male presenting with obstructive jaundice, night fever, and abdominal pain and we describe the repeated interesting imaging findings. Imaging techniques revealed an irregularly bordered retroperitoneal mass. Extrapulmonary tuberculosis involvement was diagnosed after laparotomy biopsies. In the case of retroperitoneal mass on imaging techniques, we believe that intraabdominal tuberculosis should be included in the differential diagnosis, especially in endemic areas, in order to avoid unnecessary serious surgical procedures. In this case, we studied serial phase contrast dynamic magnetic resonance imaging of the pancreatic head mass; the complications of hepatic abscess and cholangitis that developed after surgery have never been reported concomitant with tuberculosis disease.