超声诊断原发性小儿胰腺淋巴瘤1例

发布时间：2018-04-14 22:45

  本文选题：胰腺淋巴瘤 + 超声诊断　； 参考：《中国超声医学杂志》2015年07期

【摘要】：正患儿,5岁。间歇性脐周及右下腹痛半月余,查体腹软,压痛、反跳痛阴性。超声检查:右下腹及脐周肠系膜淋巴结增大,肠间积液少量,肝、胆、脾、肾未见异常,胰腺弥漫性肿大,表面呈波浪状,回声偏低不均匀,呈微结节样改变,胰管呈阶段性扩张(图1),CDFI可见散在血流信号,PW呈低速静脉血流频谱,胰周未见渗液,肝肾、脾肾间隙未见游离液,周围血管显示清晰,未见包绕及浸润。血、尿淀粉酶检查在正常高限。血常规检查正常。超声诊断:
[Abstract]:The children were 5 years old.Intermittent periumbilical and right lower abdominal pain more than half a month, check abdomen soft, tenderness, rebound pain negative.Ultrasonic examination showed that the mesenteric lymph nodes of the right lower abdomen and periumbilical were enlarged, the intestinal effusion was little, liver, gallbladder, spleen, kidney were not abnormal, the pancreas was diffusely enlarged, the surface was wavy, the echo was low and uneven, and the change was micronodular.The pancreatic duct was dilated in stages (Fig. 1) the blood flow signals were scattered in the blood flow signal and PW showed low velocity venous blood flow spectrum. There was no exudate around the pancreas, no free fluid was found in the liver and kidney, no free fluid was seen in the space of spleen and kidney, and the peripheral blood vessels were clear, without wrapping and infiltration.Blood, urine amylase detection at normal high limit.The blood routine examination is normal.Ultrasound diagnosis:
【作者单位】： 中核兰铀公司504医院影像科;
【分类号】：R445.1;R735.9

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