Yagi T, Suzuki K, Yamagishi F, Sasaki Y, Miyazawa H, Ihara S, Yagi S
Division of Thoracic Disease, National Chiba-Higashi Hospital, Japan.
Kekkaku. 1996 May;71(5):351-5.
A case of abdominal tuberculous lymphadenitis diagnosed by percutaneous needle biopsy under ultrasound control and followed up by ultrasound imaging was reported. A 63 years-old male was admitted to a certain hospital complaining of dizziness and diplopia. Chest roentgenogram showed bilateral infiltrative shadows in the upper lung fields and Mycobacterium tuberculosis was detected in cultures from specimens of gastric aspiration. Abdominal ultrasound examination and computed tomography showed abdominal lymph nodes swelling. Needle biopsy under ultrasound control was performed, and the specimens showed necrosis and Mycobacterium tuberculosis was positive by culture. He was diagnosed as lung tuberculosis with abdominal tuberculous lymphadenitis and admitted to our hospital for anti-tuberculous chemotherapy. Ultrasound examination done every two weeks showed diminution in size of the lymph nodes after a month of anti-tuberculous therapy. For the diagnosis of abdominal lymph node swelling, a needle biopsy under ultrasound control is safe and useful technique, and a ultrasound examination is also valuable to follow up the course of abdominal tuberculous lymphadenitis.
报告了1例经超声引导下经皮穿刺活检诊断为腹部结核性淋巴结炎并接受超声成像随访的病例。一名63岁男性因头晕和复视入住某医院。胸部X线片显示双上肺野浸润性阴影，胃抽吸标本培养检出结核分枝杆菌。腹部超声检查和计算机断层扫描显示腹部淋巴结肿大。在超声引导下进行针吸活检，标本显示坏死，培养结核分枝杆菌呈阳性。他被诊断为肺结核合并腹部结核性淋巴结炎，并入住我院接受抗结核化疗。抗结核治疗1个月后，每两周进行的超声检查显示淋巴结大小缩小。对于腹部淋巴结肿大的诊断，超声引导下针吸活检是一种安全有效的技术，超声检查对于随访腹部结核性淋巴结炎的病程也很有价值。
