Wang Y, He G, Zhan W, Jiang H, Wu D, Wang D, Tang A
Department of Radiology and Diagnostic Ultrasound, Rui Jin Hospital, Shanghai Second Medical University, P. R. China.
J Belge Radiol. 1998 Apr;81(2):90-1.
Splenic tuberculosis is rare and delay in diagnosis is common. We present two cases of splenic tuberculosis with their appearance on CT. The CT findings were multiple, round or ovoid, low-density lesions without calcification. Except for non-specific lymphadenopathy no abnormality nor history suggestive of tuberculosis was revealed prior to laparotomy. Although CT does not confirm a diagnosis of splenic tuberculosis, it would be a valuable examination to define the extent of disease and guide aspiration biopsy.
脾结核较为罕见,诊断延迟很常见。我们报告两例脾结核患者及其CT表现。CT表现为多发、圆形或椭圆形、无钙化的低密度病变。除了非特异性淋巴结病外,剖腹手术前未发现提示结核病的异常或病史。虽然CT不能确诊脾结核,但它对于确定疾病范围和指导穿刺活检是一项有价值的检查。