Sonographic appearance of subcapsular hepatic tuberculosis abscesses
WU Hanmei
YU Qirui
TANG Yu
Abstract：Objective To analyzed the sonographic imaging profile of subcapsular hepatic tuberculosis abscesses(SHTB).Methods The present study retrospectively evaluated sonographic imaging features of 61 SHTB cases,and their sonographic findings were classified based on the degree of involvement to the liver capsule.Concomitant abdominal tuberculosis involvement was assessed.Results Among the 61 patients,59 case(96.7％)presented fusiform lesions;with the most common location being in diaphragm dome of the right lobe.In 57 cases(93.5％),the lesions exhibited hypoechoic areas internally,and in 30 cases(49.2％),there was evidence of liquefaction within the lesions,while only 6 cases showed calcification.Furthermore,50 cases(82.0％)had type Ⅰ capsules with continuous integrity,whereas 11 cases(18.0％)had type Ⅱ capsules with discontinuity.Additionally,abdominal effusion was present in 22 patients(36.1％).Conclusion The ultrasound presentation of SHTB is characteristic,mostly occurring in the diaphragm dome of the right lobe,and the lesions are predominantly fusiform,often accompanied by a history of tuberculous peritonitis.Inside the lesion,there were mostly hypoechoic areas,and most of the peritoneum was intact.Ultrasound is a common imaging test for diagnosis and follow-up in patients with clinical suspicion of tuberculous hepatic peritoneal abscesses.
Keywords：hepatic tuberculosissubcapsularabscessesultrasonography
Publication Date：2024-05-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 538-541 )