Fujishita T, Akagawa N, Tsuji M, Miwa N, Mizushima Y, Kobayashi M
Department of Internal Medicine, Asahi General Hospital.
Nihon Kyobu Shikkan Gakkai Zasshi. 1994 Aug;32(8):791-5.
The case was a 58 year-old female. During hospitalization for the treatment of pulmonary tuberculosis, she complained of pain in the left hypochondriac region. Abdominal CT revealed a mass between the abdominal wall and left lobe of the liver. Metastatic liver carcinoma was suspected by aspiration cytology, but no primary tumor could be identified. Therefore, an exploratory laparotomy was done, and the mass proved to be a subperitoneal tuberculoma. Tuberculous lymphadenitis was also found in lymph nodes of the upper abdominal cavity. Tuberculosis in the abdominal cavity has been rare in recent times in Japan. Therefore, this case provides valuable experience in the differential diagnosis of an abdominal mass.
该病例为一名58岁女性。在因肺结核住院治疗期间，她主诉左季肋区疼痛。腹部CT显示腹壁与肝左叶之间有一个肿块。经穿刺细胞学检查怀疑为转移性肝癌，但未发现原发肿瘤。因此，进行了剖腹探查术，结果发现该肿块为腹膜下结核瘤。在上腹腔淋巴结中也发现了结核性淋巴结炎。近年来，日本腹腔结核已较为罕见。因此，本病例为腹部肿块的鉴别诊断提供了宝贵经验。
