Casolino V, Arcuri V, Fontana I, Tommasi G V, Manolitsi O, Valente R, Valente U
Cattedra di Chirurgia Sostitutiva e dei Trapianti d'Organo, Università degli Studi di Genova.
G Chir. 1997 Jun-Jul;18(6-7):353-4.
The Authors report the case of a patient symptomatic for fever, weight loss and abdominal pain submitted to abdominal sonography and CT which identified a mass of the pancreatic head. The patient underwent laparotomy plus biopsy; the istologic and bacteriological diagnosis demonstrated a tuberculous lymphoadenitis in spite of a normal cutaneous tuberculin test. Abdominal localization of TBC infection therefore is increasing in epidemiological studies, and thus it must be included in the differential diagnosis of subdiaphragmatic disease.
作者报告了一例出现发热、体重减轻和腹痛症状的患者，该患者接受了腹部超声和CT检查，发现胰头有一个肿块。患者接受了剖腹手术及活检；尽管皮肤结核菌素试验正常，但组织学和细菌学诊断显示为结核性淋巴结炎。因此，在流行病学研究中，结核分枝杆菌感染的腹部定位正在增加，所以必须将其纳入膈下疾病的鉴别诊断中。
