Sheen-Chen S M, Chen M C, Hu T H, Eng H L, Chen W J, Cheng Y F, Lee T Y
Department of Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taiwan.
Int J Tuberc Lung Dis. 2001 Sep;5(9):876-8.
Tuberculosis is one of the most common and well-documented infectious diseases, with a vast variety of clinical manifestations. A case of isolated hepatic tuberculosis mimicking liver tumor is presented. The patient was a 44-year-old man who had suffered from intermittent epigastralgia for about 2 years. Abdominal computed tomography demonstrated a low density mass with internal calcification over the left lobe of the liver. Celiac angiography showed encasement of the hepatic propia and occlusion of the left hepatic artery. Abnormal tortuous vascular structures were found at the hepatic hilar region. The patient underwent surgical intervention under the impression of left liver tumor. Microscopically, the resected liver tissue specimen revealed tuberculosis.
结核病是最常见且有充分文献记载的传染病之一,有各种各样的临床表现。本文报告一例酷似肝肿瘤的孤立性肝结核病例。患者为一名44岁男性,间断性上腹部疼痛约2年。腹部计算机断层扫描显示肝左叶有一个内部有钙化的低密度肿块。腹腔血管造影显示肝固有动脉被包绕,左肝动脉闭塞。在肝门区发现异常迂曲的血管结构。患者在被诊断为左肝肿瘤的情况下接受了手术干预。显微镜下,切除的肝组织标本显示为结核。