在免疫功能正常的宿主中，酷似肝细胞癌的巨大原发性肝结核瘤。
Massive primary hepatic tuberculoma mimicking hepatocellular carcinoma in an immunocompetent host.
作者信息
Brookes Matthew J, Field Melanie, Dawkins Dee M, Gearty Joan, Wilson Paul
机构信息
Gastroenterology Unit, City Hospital, Birmingham, United Kingdom.
出版信息
MedGenMed. 2006 Jul 18;8(3):11.
Abstract
Tuberculoma of the liver is rare in an immunocompetent individual. We report a 26-year-old man with upper abdominal pain, abnormal liver function, and raised inflammatory markers. Abdominal computed tomography (CT) scan revealed a mixed attenuation lesion measuring 6 x 5 cm occupying most of the left lobe of the liver. Subsequent histology and culture confirmed tuberculous abscess. Following antituberculous therapy, repeat CT scan revealed complete resolution of the initial findings. This case illustrates the diagnostic difficulties of hepatic tuberculosis (TB) and the importance of considering TB in patients with hepatic lesions.
摘要
肝结核瘤在免疫功能正常的个体中较为罕见。我们报告了一名26岁男性，有上腹部疼痛、肝功能异常及炎症标志物升高。腹部计算机断层扫描（CT）显示一个大小为6×5厘米的混合密度病变，占据了肝脏左叶的大部分。随后的组织学检查和培养证实为结核脓肿。抗结核治疗后，重复CT扫描显示最初的表现完全消退。该病例说明了肝结核的诊断困难以及在有肝脏病变的患者中考虑结核的重要性。
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