关键词: abdomen computed tomography mass pseudotumor tuberculosis

来  源:   DOI:10.7759/cureus.56686   PDF(Pubmed)

Abstract:
Tuberculosis poses a significant public health challenge, especially in highly endemic countries. Rarely, it appears as an abdominal mass resembling a malignant abdominal tumor and can be misleading on imaging, so early diagnosis remains a challenge, and confirmation may require invasive examinations such as laparotomy. The most characteristic radiological appearance is that of a solid, hypervascular, or peripherally enhancing mass with a hypodense center. We present a case of retroperitoneal tuberculosis that simulated a teratoma on imaging. This case highlights the diagnosis difficulties even in endemic countries, despite advances in imaging techniques such as ultrasound and computed tomography.
摘要:
结核病构成了重大的公共卫生挑战,特别是在高度流行的国家。很少,它看起来像一个类似于恶性腹部肿瘤的腹部肿块,在成像上可能会产生误导,所以早期诊断仍然是一个挑战,和确认可能需要侵入性检查,如剖腹手术。最具特征的放射学外观是固体,高血管,或外周增强的肿块,中心密度低。我们介绍了一例腹膜后结核,在影像学上模拟了畸胎瘤。这种情况突出了即使在流行国家的诊断困难,尽管超声和计算机断层扫描等成像技术取得了进展。
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