Mathieu D, Ladeb M F, Guigui B, Rousseau M, Vasile N
Radiology. 1986 Dec;161(3):713-5. doi: 10.1148/radiology.161.3.3786720.
The computed tomographic (CT) findings in six patients with periportal tuberculous adenitis were reviewed retrospectively to analyze the main morphologic features of the disease. In all patients, hypodense lymph nodes were observed close to the porta hepatis, with peripheral enhancement seen after administration of contrast material. In one patient, this hypodense adenopathy was associated with homogeneous, normally enhancing lymph nodes. These different features on the CT scans could signify the evolving pathologic stages of the disease, with early noncaseating granulomas and subsequent caseation necrosis. Recognition of these hypodense lymph nodes, especially in patients at risk, should help optimize the correct diagnosis of periportal tuberculous adenitis.
回顾性分析6例肝门周围结核性腺炎患者的计算机断层扫描（CT）表现，以分析该病的主要形态学特征。所有患者均在肝门附近观察到低密度淋巴结，注射造影剂后可见周边强化。1例患者中，这种低密度腺病与均匀、正常强化的淋巴结相关。CT扫描上这些不同特征可能意味着疾病的病理演变阶段，早期为非干酪样肉芽肿，随后出现干酪样坏死。认识到这些低密度淋巴结，尤其是在高危患者中，应有助于优化肝门周围结核性腺炎的正确诊断。
