食道结核的临床与影像表现(附1例报告并文献复习)

The clinical and imaging manifestations of tuberculous esophagitis (report of a case and a review of literatures)

目的报道1例食道结核,并复习文献,提高对食道结核的认识。方法回顾性分析1例经手术病理证实的食道结核的临床资料以及影像学表现,分析其食道钡餐造影以及CT表现。结果食道钡餐提示食道中段龛影,食道前壁见光滑压迹,粘膜连续,CT发现纵隔内多个肿大淋巴结,压迫食道前壁。术前误诊为纵隔淋巴瘤并侵犯食道。结论多种影像手段相结合,细致的分析,有助于作出正确的诊断。

Objective To improve the understanding of tuberculous esophagitis through a case report and literatures. Method Retrospectively analyze the clinical and imaging （a barium swallow and CT examination ） manifestations of a case of tuberculous esophagitis proved by postoperative pathology. Results A barium swallow showed a smooth impression over mid third of esophagus anteriorly wall and a niche of approximately 10mm in daimeterin with no mucosal abnormality. CT showed enlarged paratracheak and paraesophageal lymph nodes compressing the esophagus anteriorly. The presumptive diagnosis was lymphoma involved the mediastinum and the esophagus. Conclusion Careful and integrative analysis of multiple imaging demonstration can improve diagnosis accuracy of the disease.