Corrales Torres A J, Fernández Martínez A, Serrano D, Herranz Marín M T, Omar Mohamed M, Jiménez-Alonso J F
Servicio de Medicina Interna, Hospital General Virgen de las Nieves, Granada.
An Med Interna. 1991 Nov;8(11):559-61.
Liver infection as a result of tuberculosis is well known; there are several histological lesions, the most important being epithelioid cell granuloma. There are 3 anatomo-clinic variants: military or micronodular type, macronodular or pseudotumoral and pericanalicular of cholestatic. A case of a 66 year old male with a diagnosis of hepatic pseudotumoral tuberculosis, confirmed by means of a laparoscopy, is presented. The rareness of this particular presentation is discussed, as well as the difficult diagnosis due to confusion with primary or metastatic tumors of the liver.
因结核病导致的肝脏感染是众所周知的;存在多种组织学病变,其中最重要的是上皮样细胞肉芽肿。有三种解剖学临床变体:粟粒型或微结节型、大结节型或假肿瘤型以及胆汁淤积性的汇管区周围型。本文介绍了一例66岁男性患者,经腹腔镜检查确诊为肝脏假肿瘤型结核病。文中讨论了这种特殊表现的罕见性,以及因与肝脏原发性或转移性肿瘤混淆而导致的诊断困难。