Wang Hsin-Yi, Lin Wan-Yu
Department of Nuclear Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Kaohsiung J Med Sci. 2006 Jan;22(1):34-8. doi: 10.1016/S1607-551X(09)70218-9.
A 32-year-old male had suffered from persistent dull epigastric pain, constipation, postprandial vomiting, and body-weight loss for 2 months. An abdominal computed tomography (CT) scan showed thickening of the proximal jejunal wall. He was also referred to our center for an fluoro-2-deoxy-D-glucose-positron emission tomography (FDG-PET) scan because his tumor marker CA19-9 was above 800 ng/mL and malignancy was suspected. The PET scan showed an FDG-avid lesion over the upper left abdomen. Endoscopy of the small intestine revealed focal thickening of the mucosal fold and skip ulcer lesions in the jejunum. Culture from the biopsy tissue proved the diagnosis of Mycobacterium tuberculosis infection. No evidence of pulmonary tuberculosis was detected during further evaluation.
一名32岁男性持续上腹部隐痛、便秘、餐后呕吐及体重减轻2个月。腹部计算机断层扫描（CT）显示空肠近端肠壁增厚。因其肿瘤标志物CA19-9高于800 ng/mL且怀疑为恶性肿瘤，遂转诊至我院行氟代脱氧葡萄糖正电子发射断层扫描（FDG-PET）。PET扫描显示左上腹有一个FDG摄取阳性病灶。小肠内镜检查发现空肠黏膜皱襞局灶性增厚及跳跃性溃疡病变。活检组织培养确诊为结核分枝杆菌感染。进一步评估未发现肺结核证据。
