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氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描中伪装成胆管癌的原发性胆汁性结核

Primary Biliary Tuberculosis Masquerading Cholangiocarcinoma in F-Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography.

作者信息

Krishna Sarin, Mishra Ajit Kumar, Ravina Mudalsha, Kashyap Yashwanth, Bansal Himanshu, Dasgupta Subhajit

机构信息

Department of Nuclear Medicine, AII India Institute of Medical Sciences, Raipur, Chhattisgarh, India.

Department of General Surgery, DKS Hospital, Raipur, Chhattisgarh, India.

出版信息

Indian J Nucl Med. 2022 Jul-Sep;37(3):265-267. doi: 10.4103/ijnm.ijnm_204_21. Epub 2022 Nov 2.

Abstract

Hepatobiliary involvement is a less common manifestation of abdominal tuberculosis. We present the case of a 42-year-old female who presented with fever, abdominal pain, and jaundice of 2 months duration. F-fluorodeoxyglucose positron emission tomography/computed tomography done for disease evaluation suggested the likely possibility of cholangiocarcinoma but excision biopsy from periportal lymph node later confirmed a granulomatous etiology and she was successfully treated with antitubercular therapy.

摘要

肝胆受累是腹部结核较少见的表现形式。我们报告一例42岁女性患者,其出现发热、腹痛及持续2个月的黄疸症状。为评估病情进行的F-氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描提示可能为胆管癌,但随后对肝门淋巴结进行的切除活检证实为肉芽肿性病因,她接受抗结核治疗后获得成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbbe/9855251/a5d47cda6f0a/IJNM-37-265-g001.jpg

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