PDF(Pubmed)
Abstract：
Peritoneal lymphomatosis is a rare presentation of lymphoma that can mimic peritoneal tuberculosis. The computed tomography findings in both conditions include omental caking, thickening, and nodularity. We report the case of a 41-year-old man who presented with intermittent abdominal pain and distension. Abdominal CT initially suggested peritoneal tuberculosis due to the thickening of the peritoneum and greater omentum with multiple nodules. However, 18F-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) images showed diffuse metabolic activity increase in the thickened peritoneum, omentum, and mesentery. An omental biopsy was performed under ultrasonography guidance, and histopathological examination revealed a high-grade Burkitt lymphoma. It is crucial to distinguish peritoneal lymphomatosis from tuberculosis, as the prognosis and management of the two conditions are vastly different.
摘要：
腹膜淋巴瘤病是一种罕见的淋巴瘤表现，可以模仿腹膜结核。两种情况下的计算机断层扫描结果都包括网膜结块，增厚,和结节。我们报告了一名41岁的男子，他出现间歇性腹痛和腹胀。腹部CT最初提示腹膜结核是由于腹膜增厚和大网膜伴多个结节。然而,18F-氟代脱氧葡萄糖正电子发射断层扫描/计算机断层扫描（18F-FDGPET/CT）图像显示增厚的腹膜中弥漫性代谢活性增加，网膜,和肠系膜.在超声引导下进行网膜活检，组织病理学检查显示高度伯基特淋巴瘤。区分腹膜淋巴瘤和结核至关重要，因为这两种情况的预后和管理有很大的不同。
