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首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Tuberculous ileitis in a renal transplant recipient with familial Mediterranean fever: Gray-scale and power Doppler sonographic findings.
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Tuberculous ileitis in a renal transplant recipient with familial Mediterranean fever: Gray-scale and power Doppler sonographic findings.

机译：患有家族性地中海热的肾移植受者的结核性回肠炎：灰度和功率多普勒超声检查结果。

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摘要

The ileocecal area is the most common site of involvement of intestinal tuberculosis. We report the case of a 26-year-old renal transplant recipient with familial Mediterranean fever who developed tuberculous ileitis. Gray-scale sonography and CT showed circumferential thickening of the bowel wall and enlargement of the mesenteric lymph nodes. Power Doppler sonography revealed markedly increased vascularity in the wall of the affected ileal segment and in the mesenteric nodes. Some nodes had no flow at the center owing to caseation necrosis, a finding consistent with the diagnosis of tuberculous ileitis. Colonoscopy was performed, and histopathologic examination of biopsy specimens revealed acute inflammatory changes. Cultures of the specimens confirmed the presence of Mycobacterium tuberculosis. We conclude that findings on power Doppler sonography may support a diagnosis of tuberculous ileitis and avoid clinical mismanagement.
机译：回盲区是肠结核最常见的部位。我们报告了一名26岁的患有家族性地中海热的肾移植患者，该患者发生了结核性回肠炎。灰度超声检查和CT检查显示肠壁周围增厚，肠系膜淋巴结肿大。功率多普勒超声检查显示受影响的回肠段壁和肠系膜淋巴结中的血管明显增加。由于结节坏死，一些结节在中心没有血流，这一发现与结核性回肠炎的诊断相符。进行了结肠镜检查，活检标本的组织病理学检查显示急性炎症改变。标本的培养证实存在结核分枝杆菌。我们得出结论，关于功率多普勒超声检查的发现可能支持结核性回肠炎的诊断并避免临床管理不善。

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