犹豫不决：联合多模态成像与腹腔镜检查诊断结核性腹膜炎

On the fence: Combining multimodal imaging and laparoscopy for diagnosing tuberculous peritonitis.

作者信息

Yamada Kenji, Aoki Kazuaki, Tanaka Rina, Matsushima Seito, Sato Akiyuki, Kobayashi Takaaki, Moody Sandra, Nogi Masayuki

机构信息

Department of General Internal Medicine Kameda Medical Center Kamogawa, Chiba Japan.

Division of Infectious Diseases University of Iowa Iowa City Iowa USA.

出版信息

Clin Case Rep. 2024 Jun 5;12(6):e8996. doi: 10.1002/ccr3.8996. eCollection 2024 Jun.

DOI:10.1002/ccr3.8996

PMID:38845802

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11154765/

Abstract

Tuberculous peritonitis (TB peritonitis) is one of the most challenging forms of extrapulmonary TB to diagnose. While tumor markers can be elevated in patients with TB peritonitis, FDG-PET/CT can aid in distinguishing TB peritonitis from malignancies, if an apron-like omentum pattern is seen. Laparoscopy is crucial for accurate and early diagnosis.

摘要

结核性腹膜炎是肺外结核中最难诊断的类型之一。虽然结核性腹膜炎患者的肿瘤标志物可能升高，但如果出现围裙样大网膜模式，氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描（FDG-PET/CT）有助于鉴别结核性腹膜炎与恶性肿瘤。腹腔镜检查对准确早期诊断至关重要。