腹膜转移瘤的CT诊断及鉴别-2.pptVIP

4、腹膜结核 出现肠系膜大结节 可见侧腹壁均匀增厚及强化（平滑均匀） 脾肿大，脾脏钙化灶 回盲部肠壁受累 后腹膜及胰腺周围的淋巴结肿大，低密度中心及环形强化 Figure 16. Peritoneal tuberculosis in a 45-year old Senegalese male. A and B. Presence of left iliac and splenic hilar lymphadenopathies with necrotic centre (black arrow heads). C and D. Enhancement and regular thickening of the parietal peritoneum, iliac fossae, and pelvis (white arrow heads) with free ascites (asterisk). E. Invasion of the greater omentum (black arrow) and lymph nodes of the mesenteric root. 5、脾种植 常有外伤脾脏破裂，脾切除史，无临床症状 脾脏碎片种植于腹膜腔，皮下，纵隔、胸膜腔（膈破裂） 平扫等密度，增强强化方式同脾脏，无腹水 Figure 17. Incidental so