回肠结核并发右侧腹股沟寒性脓肿1例影像特点并文献分析

doi:10.19871/j.cnki.xfcrbzz.2022.01.016

新发传染病电子杂志 ›› 2022, Vol. 7 ›› Issue (1): 70-72.doi: 10.19871/j.cnki.xfcrbzz.2022.01.016

回肠结核并发右侧腹股沟寒性脓肿1例影像特点并文献分析

邓莉¹, 张桂川¹, 葛海¹, 尤连波¹, 包子华¹, 王军大²

1.重庆市南川区中医院放射科,重庆 408400;
2.重庆市中医院放射科,重庆 400021

收稿日期:2021-12-29 出版日期:2022-02-28 发布日期:2022-07-07
通讯作者: 王军大,Email：919734168@qq.com
基金资助:
1.重庆市2020年自然科学基金面上项目基础研究与前沿探索专项（cstc2020jcyj-msxmX0187）; 2.重庆市2019年自然科学基金面上项目基础研究与前沿探索专项（cstc2019jcyj-msxmX0555）; 3.重庆市2020年科卫联合中医药科技项目（2020ZY3539）

Imaging features and literature analysis of a case of ileal tuberculosis with cold abscess of the right inguinal

Deng Li¹, Zhang Guichuan¹, Ge Hai¹, You Lianbo¹, Bao Zihua¹, Wang Junda²

1. Department of Radiology, Nanchuan Hospital of TCM, Chongqing 408400,China;
2. Department of Radiology, Chongqing Hospital of Traditional Chinese Medicine,Chongqing 400021, China

Received:2021-12-29 Online:2022-02-28 Published:2022-07-07

摘要/Abstract

摘要： 目的探讨回肠结核并发右侧腹股沟寒性脓肿的影像学表现并结合文献进行分析,为日后诊断肠结核脓肿提供有利的支持。方法回顾分析重庆市南川区中医院1例肠结核并形成脓肿至右侧腹股沟区的临床资料、影像学表现并文献复习。结果腹股沟区寒性脓肿特征性表现为向周围蔓延且呈流注样下行,无向上蔓延趋势,增强CT扫描脓肿环形强化,MRI表现多呈T₁WI低T₂WI高或略高的混杂信号。结论肠结核并发腹股沟区寒性脓肿十分罕见,可通过CT、MRI等影像检查进行鉴别,提高术前诊断率,为临床医生制定治疗方案提供有效依据,减少误诊、漏诊机会。

关键词: 回肠结核, 腹股沟, 寒性脓肿, 影像学特点, 文献分析

Abstract: Objective To explore the imaging manifestations of cold abscess in the groin area and analyze it in combination with the literature to provide favorable support for the diagnosis of intestinal tuberculosis abscess in the future. Method A case of Intestinal tuberculosis with abscess to the right groin area was analyzed retrospectively. Result The characteristic manifestation of cold abscess in the groin area is spreading to the periphery and descending in a stream-like manner, with no upward spreading trend. The abscess in enhanced CT scans is enhanced in a ring shape,MRI manifestations are mostly confounding signals with low T₁WI and high or slightly higher T₂WI.Conclusion Intestinal tuberculosis complicated by cold abscess in the inguinal area is very rare. It can be differentiated by CT, MRI and other imaging findings to improve the preoperative diagnosis rate, provide an effective basis for clinicians to formulate treatment plans, and reduce the chance of misdiagnosis and missed diagnosis.

Key words: Ileal tuberculosis, Groin, Cold abscess, Imaging features, Literature analysis

邓莉, 张桂川, 葛海, 尤连波, 包子华, 王军大. 回肠结核并发右侧腹股沟寒性脓肿1例影像特点并文献分析[J]. 新发传染病电子杂志, 2022, 7(1): 70-72.

Deng Li, Zhang Guichuan, Ge Hai, You Lianbo, Bao Zihua, Wang Junda. Imaging features and literature analysis of a case of ileal tuberculosis with cold abscess of the right inguinal[J]. Electronic Journal of Emerging Infectious Diseases, 2022, 7(1): 70-72.

参考文献

[1] 何玉麟, 许传军. 肺结核影像诊断标准[J/CD]. 新发传染病电子杂志, 2021, 6(1):1-6.
[2] 中华医学会放射分会传染病放射学专业委员会. 肺结核影像学及分级诊断专家共识[J/CD]. 新发传染病电子杂志, 2018, 3(2):118-127.
[3] KENTLEY J, OOI JL, POTTER J, et al.Intestinal tuberculosis:a diagnostic challenge[J].Trop Med Int Health, 2017, 22(8):994-999.
[4] SARA YRT, MARTIN ER, FRANCISCO JM.Extrapulmonary Tuberculosis: Pathophysiology and Imaging Findings[J]. Radiographics, 2019, 39(7):2023-2037.
[5] SAURABH K, PRASENJIT D, KUMBLE SM, et al.Differentiating Crohn's disease from intestinal tuberculosis[J]. World J Gastroenterol, 2019, 25(4):418-432.
[6] 李茂胜, 谢微波. 多层螺旋CT和MRI诊断脊柱结核患者的价值比较[J]. 中国CT和MRI杂志, 2019, 17(8):146-149.
[7] 马树民, 鲁德忱, 秦宪斌. 腹股沟区寒性脓肿误诊为腹股沟疝1例分析[J]. 中国误诊学杂志, 2007, 7(5):1042-1043.
[8] 陈凯, 陈玉辉, 郑向东, 等. 脊柱结核的病理组织成分影像学对照分析[J]. 中国临床医学影像杂志, 2008, 19(6):419-422.
[9] 杨海青, 段洪. 脊柱结核病理及影像学形态多样性特征[J]. 实用骨科杂志, 2015, 21(5):473-476.
[10] 刘晓吉. 胸椎结核合并脓肿42例手术体会[J]. 山东医药, 2008,48(15):105-110.
[11] 葛艳明, 李耀武, 孙西河, 等. 肾结核并腰大肌冷脓肿1例[J].中国临床解剖学杂志, 2007, 11(2):189, 193.
[12] 曾继先, 梁志凌. 腰3-5椎棘结核并冷脓肿的MRI影像特征研究[J]. 中国CT和MRI杂志, 2017, 15(10):132-134, 138.
[13] SINAN T, AL-KHAWARI H, ISMAIL M, et al.Spinal tuberculosis: CT and MRI feature[J]. Ann Saudi Med, 2004, 24(6):437-341
[14] 夏征云. 脊柱结核早期MRI诊断[J]. 包头医学, 2014, 38(1): 26-27.
[15] 黄浩, 谢斌. 超声联合CT诊断脊柱结核并左侧腹股沟脓肿1 例[J]. 广东医学, 2016,37(5):639.
[16] 刘海燕, 季鹏, 邱晓晖. 多排螺旋CT对腹腔脓肿的诊断价值[J].安徽医药, 2018, 22(6):1095-1098.
[17] 陈凯, 陈玉辉, 郑向东, 等. 脊柱结核的病理组织成分影像学对照分析[J]. 中国临床医学影像杂志, 2008, 18(6):419-422.

回肠结核并发右侧腹股沟寒性脓肿1例影像特点并文献分析

Imaging features and literature analysis of a case of ileal tuberculosis with cold abscess of the right inguinal

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