Pombo F, Soler R, Martín R, Castro J M
Department of Radiology, Hospital Juan Canalejo, La Coruña, Spain.
Rofo. 1990 Feb;152(2):142-6. doi: 10.1055/s-2008-1046840.
We present ultrasound (US) and computed tomography (CT) findings in 7 patients with periportal and peripancreatic tuberculous adenitis. In US scans, hypoechoic adenopathies were found in 6 patients while in the other one a hypoechoic, poorly marginated mass was seen. CT studies showed hypodense (25-35 HU) enlarged lymph nodes with immediate postcontrast peripheral rim enhancement in 3 patients. An infiltrating inhomogeneous mass was present in other patient and soft tissue density lobulated masses were found in delayed postcontrast scans of 2 patients. The US findings are of no help in distinguishing tuberculosis from other causes of adenitis. The CT appearance has been variable and only the hypodense nodes with peripheral enhancement in postcontrast scans are suggestive of this entity.
我们展示了7例门静脉周围和胰腺周围结核性腺炎患者的超声（US）和计算机断层扫描（CT）结果。在超声扫描中，6例患者发现低回声腺病，而另一例患者可见低回声、边界不清的肿块。CT研究显示，3例患者有低密度（25 - 35 HU）肿大淋巴结，增强扫描后立即出现周边环形强化。另一例患者有浸润性不均匀肿块，2例患者延迟增强扫描发现软组织密度分叶状肿块。超声检查结果无助于将结核与腺炎的其他病因区分开来。CT表现各不相同，只有增强扫描后出现周边强化的低密度结节提示为此病。
