Tritou I, Prassopoulos P, Daskalogiannaki M, Charoulakis N, Papakonstantinou O, Gourtsoyiannis N
Department of Radiology, Medical School, University of Crete, Heraklion, Greece.
Acta Radiol. 2000 Sep;41(5):479-81. doi: 10.1080/028418500127345721.
Miliary hepatic involvement is a frequent finding on autopsy in patients with disseminated tuberculosis. Imaging studies may reveal hepatosplenomegaly and/or parenchymal inhomogeneity and, in a minority of cases, focal lesions, invariably associated with miliary lung disease. An unusual case of disseminated tuberculosis with manifestations of miliary hepatic involvement, abdominal and neck lymphadenopathy on US and CT without any evidence of active disease in the lungs, spleen or other organ, is described.
粟粒性肝受累在播散性结核病患者尸检中是常见发现。影像学检查可能显示肝脾肿大和/或实质不均匀,少数情况下可见局灶性病变,且总是与粟粒性肺病相关。本文描述了一例不寻常的播散性结核病病例,其表现为粟粒性肝受累、腹部和颈部淋巴结病,超声和CT检查未发现肺、脾或其他器官有任何活动性疾病迹象。