论文部分内容阅读
患者,女,36岁。上腹部不适伴纳差、乏力、盗汗一年余,腹部剧痛一天入院。体查:腹肌紧张,有明显压痛及反跳痛。胸片:右上肺结核并双则胸积液,右隔下见少量新月形气影,提示有胃肠道穿孔,而行手术治疗。术中见肝脏表面、肠膜根部及肠壁多发散在灰黄色结节状病灶。病理活检为结核干酪坏死组织。术后再做CT检查,并经半年的抗结核治疗,临床症状明显好转,体重增加。 CT表现:平扫,肝脏多发散在之结节状低密度灶伴斑点及小结节状钙化(图1)。其中部分病灶边缘较清,部分模糊。左叶部分病灶融合呈片状混合密度影。肝门区及肠系膜多发淋巴结肿大伴有钙化。增强扫描:部分病灶周边轻度
Patient, female, 36 years old. Abdominal discomfort with anorexia, fatigue, night sweats more than a year, abdominal pain one day admission. Physical examination: abdominal muscle tension, tenderness and rebound tenderness. Chest X-ray: upper right pulmonary tuberculosis and double side of the chest fluid, the right septal see a small amount of crescent-shaped gas shadow, suggesting that gastrointestinal perforation, and surgical treatment. See the liver surface during surgery, the root of the intestinal membrane and intestinal wall were scattered in the gray-yellow nodular lesions. Pathological biopsy was tuberculosis necrotic tissue. Postoperative CT examination, and after six months of anti-TB treatment, clinical symptoms improved significantly, weight gain. CT manifestations: plain scan, the liver scattered in the nodular low-density lesions with spots and nodular calcification (Figure 1). Some of the lesion edge more clear, partially blurred. Left lesion fusion was flaky mixed density shadow. Hilar and mesenteric lymph nodes with calcification. Enhanced scan: some lesions around the mild