Sampath Santhosh, Basumani Pandurangan, Kothandaraman Anand, Ramakrishnan Ravi
Department of Nuclear Medicine, Dr. Rela Institute and Medical Centre, Chennai, Tamil Nadu, India.
Department of Gastroenterology, Dr. Rela Institute and Medical Centre, Chennai, Tamil Nadu, India.
World J Nucl Med. 2022 Apr 30;21(1):69-72. doi: 10.1055/s-0042-1746176. eCollection 2022 Mar.
Tuberculous involvement of the spine (tuberculosis [TB] spine) can cause severe morbidity unless detected and treated early. Apart from the constitutional symptoms, it can present with back pain, kyphosis, gait abnormality, and paraplegia secondary to the bone or spinal cord involvement. There had been instances of TB spine presenting directly as abdominal pain due to psoas abscesses. Herein, we report a very rare clinical manifestation of TB spine as in the right upper abdominal quadrant due to right epidural phlegmon associated with T7 vertebra, detected by positron emission tomography.
脊柱结核（结核性脊柱炎）若不及早发现和治疗，可导致严重的发病情况。除全身症状外，还可能出现背痛、脊柱后凸、步态异常以及因骨骼或脊髓受累继发的截瘫。曾有脊柱结核因腰大肌脓肿直接表现为腹痛的病例。在此，我们报告一例极为罕见的脊柱结核临床表现，即正电子发射断层扫描检测发现与T7椎体相关的右侧硬膜外蜂窝织炎导致右上腹象限出现病变。
