胰腺结核合并梗阻性黄疸1例并文献复习  

A Case of Pancreatic Tuberculosis Complicated with Obstructive Jaundice and Literature Review

作　　者：陈小荣 曹爱红 CHEN Xiao Rong;CAO Ai Hong(Department of Radiology,Xuzhou Medical University Second Affiliated Hospital,Xuzhou 221006,Jiangsu Province,China)

机构地区：[1]徐州医科大学第二附属医院影像中心,江苏徐州221006

出　　处：《罕少疾病杂志》2022年第9期5-7,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的通过报道1例胰头结核误诊为恶性肿瘤的病例结合文献复习,探讨胰腺结核的临床特点、影像学表现,以提高对该病的认知和诊断水平。方法分析1例胰头结核患者的临床资料、诊断过程并结合相关文献进行检讨分析。结果该例被误诊为胰头恶性肿瘤,最终行胰十二指肠切除手术。结论胰腺结核是一种临床罕见疾病,症状及影像学表现缺乏特异性,鉴别诊断困难,对于年轻的梗阻性黄疸患者,尤其不伴有肿瘤标志物升高的孤立胰腺占位,应把胰腺结核考虑在内,完善相关实验室检查,在术前可通过穿刺活检帮助鉴别诊断;患者经过及时、正规的抗结核治疗多能获得良好的疗效。Objective By reporting a case of pancreatic head tuberculosis misdiagnosed as malignant tumor and reviewing the literature,to explore the clinical characteristics and imaging manifestations of pancreatic tuberculosis,so as to improve the knowledge and diagnosis of the disease.Methods Analyze the clinical data and diagnosis process of a patient with pancreatic head tuberculosis,and conduct a review and analysis in conjunction with relevant literature.Results This case was misdiagnosed as a malignant tumor of the head of the pancreas,and pancreaticoduodenectomy was finally performed.Conclusion Pancreatic tuberculosis is a rare clinical disease.The symptoms and imaging manifestations lack specificity and the differential diagnosis is difficult.For young patients with obstructive jaundice,especially those with isolated pancreatic space without elevated tumor markers,the pancreas should be treated.Taking tuberculosis into account,improve the relevant laboratory tests,and use needle biopsy to help differential diagnosis before surgery;patients can get good results after timely and regular anti-tuberculosis treatment.

关 键 词：胰腺结核 胰腺肿瘤 误诊 

分 类 号：R735.9[医药卫生—肿瘤]