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原发性肾上腺结核:计算机断层扫描及CT引导下活检在诊断中的作用

Primary adrenal tuberculosis: role of computed tomography and CT-guided biopsy in diagnosis.

作者信息

Liatsikos E N, Kalogeropoulou C P, Papathanassiou Z, Tsota I, Athanasopoulos A, Perimenis P, Barbalias G A, Petsas T

机构信息

Department of Urology, School of Medicine, University of Patras, Patras, Greece.

出版信息

Urol Int. 2006;76(3):285-7. doi: 10.1159/000091637.

DOI:10.1159/000091637
PMID:16601397
Abstract

A case of isolated, bilateral, adrenal tuberculosis is presented. A 25-year-old male was admitted to the hospital due to lumbar pain, fever, weight loss and anorexia. Abdominal ultrasonography and computed tomography demonstrated bilateral adrenal enlargement. Laboratory investigations were remarkable for adrenal insufficiency. The Mantoux reaction was positive but there was no evidence of lung or urinary infection. CT-guided biopsy of the left adrenal gland was performed and established the diagnosis of adrenal tuberculosis.

摘要

本文报告一例孤立性双侧肾上腺结核病例。一名25岁男性因腰痛、发热、体重减轻和厌食入院。腹部超声和计算机断层扫描显示双侧肾上腺增大。实验室检查显示肾上腺功能不全。结核菌素试验呈阳性,但无肺部或泌尿系统感染证据。对左侧肾上腺进行CT引导下活检,确诊为肾上腺结核。

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