Dursun Ismail, Yikilmaz Ali, Poyrazoglu Hakan, Soyuer Isin, Gunduz Zubeyde
Department of Pediatric Nephrology, Faculty of Medicine, Erciyes University, Bahçelievler Mah. Mevlana Cad. Kalyoncu Sitesi, A Blok 10:10, Talas-Kayseri, Kayseri, 38100, Turkey.
Pediatr Radiol. 2009 Mar;39(3):302-5. doi: 10.1007/s00247-008-1097-1. Epub 2009 Jan 10.
Isolated hepatic tuberculosis is a rare manifestation of tuberculosis in children although its incidence has been increasing, especially in immunosuppressed patients. Imaging studies frequently present a diagnostic challenge, especially for the nodular form. Thus a high index of suspicion is required for diagnosis. On US, hepatic tuberculosis may rarely present as a macronodular form (also called pseudotumour or tuberculoma). We report a 15-year-old girl with multiple hepatic macronodular masses due to isolated hepatic tuberculosis.
孤立性肝结核在儿童中是结核病的一种罕见表现，尽管其发病率一直在上升，尤其是在免疫抑制患者中。影像学检查常常带来诊断挑战，尤其是对于结节型。因此，诊断需要高度的怀疑指数。在超声检查中，肝结核很少表现为大结节型（也称为假瘤或结核瘤）。我们报告了一名15岁女孩，因孤立性肝结核出现多个肝脏大结节性肿块。
