Tuberculousperitonitis结核性腹膜炎_培训课件.pptx

Abdominal Tuberculosis腹部结核病;General consideration;Classification;Different pathways;Pathophysiology of Gastrointestinal TB（胃肠道TB的病理生理学）;Complications of intestinal tuberculosis Bowel obstruction（肠梗阻） Perforation（穿孔） Abscess formation（脓肿形成） Fistula（瘘道形成） Intussusception（肠套叠） Bowel wall ischemia（肠壁缺血）;Fixed and narrowed ileum（回肠固定及变窄）; Conical and shrunken cecum（锥形和萎缩的盲肠）;ileocecal tuberculosis 回盲部结核Mild wall thickening of the cecum（盲肠壁轻度增厚）Pericecal lymph nodes（盲肠周围淋巴结）;Differentiating imaging features;Colonic tuberculosis(A) Two strictures in descending and transverse colon(B) Marked infiltration and asymmetrical thickening of the ascending colon and mesenteric enlarged lymph node;Tuberculous lymphadenopathy;Multiple enlarged lymph nodesRim enhancement and Necross inside （环形强化和内部坏死）Calcification（钙化）Large psoas abscess（腰大肌脓肿）;Tuberculous peritonitis 结核性腹膜炎;Thickening, enhancement, and nodularity of peritoneum 腹膜增厚、强化、结节状ileocolic adenopathy 回盲部淋巴结;Mesentery involvement: most common Omental involvement: nodular, smudged Peritoneal involvement: smooth, tiny nodules Ascites: 30-100% of cases multiple stands of fibrin and debris（纤维素或碎片） septa（分隔）;Wet type 湿型Ascites: septa （分隔）Peritoneum: smooth thickening enhancement（光滑增厚强化）;Dry type 干型;Signs assisting in guiding diagnosis of tuberculous peritonitis;Asciteslymph nodes: mesenteric retroperitonealNecrosis inside and ring-like enhancement Omentum: Thickening Peritoneum: Enhancement Regular thickening ;Hepatic, Splenic and pancreatic TB 肝、脾、胰腺结核;Miliary hepatic TB 粟粒型;Tiny hypovascular nodules scattering in the liver and spleen 低血供结节Enlarged liver and spleen 肝脾大slightly rim enhancement 轻度环形强化;Macronodular 大结节Hypovascular 低血供;Pancreatic tuberculosis 胰腺结核;Associated Findings;A painting is more than the sum of its parts. A cow by itself is just a cow. A meadow by itself is merely grass and flowers. The sunshine peeking through the trees is merely a beam of light. But you put them all together, it can be m