Coelho J C, Wiederkehr J C, Parolin M B, Balbi E, Nassif A E
Division of Liver Transplantation, Clinical Hospital of the Federal University of Parana, Brazil.
Liver Transpl Surg. 1999 Mar;5(2):153-5. doi: 10.1002/lt.500050212.
A patient presented with intermittent high fever, upper abdominal pain, and loss of appetite 9 months after an orthotopic liver transplantation. Computed tomography showed a large mass in the pancreas that was confirmed at laparotomy. Pathological examination of the pancreatic biopsy specimen showed several chronic granulomatous lesions with caseating necrosis. Two and one half months after beginning antituberculous treatment, there was an important reduction of the pancreatic mass.
一名患者在原位肝移植9个月后出现间歇性高热、上腹部疼痛和食欲不振。计算机断层扫描显示胰腺有一个大肿块，剖腹手术证实了这一点。胰腺活检标本的病理检查显示有几个伴有干酪样坏死的慢性肉芽肿性病变。开始抗结核治疗两个半月后，胰腺肿块明显缩小。
