在结核性多症中复发性肺上腺炎与肺炎囊肠道:病例报告
Xiang Qiu1,2, Lishan Wang1, Muchu Daren2
1Department of Radiology, Chengdu Integrated TCM&Western Medicine Hospital, Chengdu, China.
Medicine
|December 16, 2025
概括
肺炎囊性肠炎 (PCI) 带有肺膜炎可能是良性的,并且经常在没有手术的情况下进行管理. 这种罕见的疾病,有时与结核性肺炎有关,需要仔细的CT评估以获得适当的治疗.
科学领域:
- 胃肠病学 胃肠病学
- 肺部病理学 肺部病理学
- 放射学 放射学是指放射学
背景情况:
- 肺炎囊性肠炎 (PCI) 是一种罕见的疾病,在一般人群中患病率为0.03%.
- 虽然PCI可能与肺关联,但它通常不表明粘膜穿孔.
- PCI,结核性肺炎和复发性肺上腺炎的共存是不常见的,并且可能被低诊断.
研究的目的:
- 报告一种罕见的结核性肺炎病例与复发性肺上皮膜炎和PCI.
- 为了突出成功的非手术管理的最小症状患者.
- 强调计算机断层扫描 (CT) 在治疗PCI相关性肺关节炎的诊断作用.
主要方法:
- 一个38岁的男性病例报告,患有结核性肺炎和复发性肺.
- 诊断成像,包括CT,以排除肠道穿孔,缺血或亡.
- 非手术治疗包括血液动力学监测,肠休息,氧疗法和连续CT扫描,以及标准抗结核治疗.
主要成果:
- 患者出现了轻微的腹部膨胀,但在CT上没有穿孔或缺血的迹象.
- 复发的良性肺瘤仅通过保守的治疗而消失.
- 这支持稳定PCI患者没有穿孔迹象的非手术方法,为高风险病例保留手术.
结论:
- 对PCI次要的肺上腺瘤往往是良性的,可能不需要手术干预.
- 结核性肺炎可能会通过改变胸腔腹腔压力导致PCI和肺上皮质炎.
- 特征性CT检测结果对于识别PCI和将其与肺皮炎的其他原因区分开来至关重要.
相关概念视频
Pneumothorax-II
852
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
852
Pleura of the Lungs
6.1K
The lungs are nestled in a cavity, shielded by the pleura. The pleura, a form of serous membrane, wraps around each lung. This membrane arrangement consists of two layers: the visceral and parietal pleurae. The visceral pleura lines the surface of the lungIn contrast, the parietal pleura is the outer layer and contacts to the thoracic wall, the mediastinum, and the diaphragm. The hilum is the point of connection between the visceral and parietal layers. The space between the parietal and...
6.1K
Pneumothorax-I
1.1K
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
1.1K
Pleural Effusion II: Symptoms and Management
609
Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
609
Pleural Disorders: Types and Brief Description
561
The pleura is a vital part of the respiratory system. It's a double-layered membrane surrounding the lungs and lining the chest cavity. The two layers of the pleura are:
561
Pulmonary Tuberculosis II
1.3K
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
1.3K


