Williford M E, Thompson W M, Hamilton J D, Postlethwait R W
Gastrointest Radiol. 1983;8(2):119-22. doi: 10.1007/BF01948102.
Esophageal tuberculosis secondary to tuberculous mediastinal lymphadenopathy is a very unusual presentation of adult tuberculosis. We report a patient presenting with fever of unknown origin and dysphagia. Barium swallow demonstrated esophageal displacement, mucosal ulceration and perforation with a fistulous tract into the mediastinum. CT of the mediastinum gave the most complete delineation of the tuberculous mediastinal lymphadenopathy which surrounded and displaced the esophagus. The fistulous tract extending from the esophagus into the nodal mass was also seen on CT.
继发于结核性纵隔淋巴结病的食管结核是成人结核病一种非常罕见的表现形式。我们报告一例以不明原因发热和吞咽困难为表现的患者。吞钡检查显示食管移位、黏膜溃疡和穿孔，伴有通向纵隔的瘘管。纵隔CT最完整地描绘了围绕并推移食管的结核性纵隔淋巴结病。CT上也可见从食管延伸至肿大淋巴结的瘘管。
