Ultrasonographic and CT Findings of Hepatosplenic Tuberculosis.
10.3348/jkrs.1998.39.2.345
- Author:
Un Hyeon MOON
1
;
Jeong Seok LEE
;
Kang Seok KO
;
Byung Ran PARK
;
Dong Cheol YANG
;
Ju Hyeon IM
;
In Young KANG
Author Information
1. Department of Radiology, Kwangju Christian Hospital.
- Publication Type:Original Article
- Keywords:
Tuberculosis, gastrointestinal;
Liver, CT;
Liver, US
- MeSH:
Central Nervous System;
Diagnosis;
Female;
Hepatomegaly;
Humans;
Liver;
Lymphatic Diseases;
Male;
Retrospective Studies;
Spleen;
Splenomegaly;
Tuberculosis*;
Tuberculosis, Gastrointestinal;
Tuberculosis, Hepatic;
Ultrasonography
- From:Journal of the Korean Radiological Society
1998;39(2):345-351
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the ultrasonographic and CT findings of hepatosplenic tuberculosis MATERIALS AND METHODS: We retrospectively reviewed the ultrasonographic and CT findings of confirmed hepatosplenic tuberculosis in 12patients. Six were men and six were women ; their average age was 41, and most were in their twenties. Lesions ofthe liver and spleen, as well as associated findings such as abdominal tuberculosis and other organ involvement oftuberculosis were analyzed. RESULTS: There were three cases of hepatic tuberculosis, seven of splenictuberculosis, and two of hepatosplenic involvement of tuberculosis. On the basis of the ultrasonographic and CTfindings, hepatosplenic tuberculosis was classified as one of two patterns : miliary or micronodular, ormacronodular. The micronodular type was more common (9/12 cases) being characterized by innumerable micronodules,and with easy coalescence in the liver and spleen in five of the nine cases. The macronodular type of low densitymass was noted in the other three patients. Splenomegaly was noted in 12 cases and hepatomegaly in ten. Pulmonarytuberculosis-including the miliary type(n=5)-was noted in eight patients. Associated abdominal tuberculosis suchas lymphadenopathy with central low density and peripheral rim enhancement (n=6), tuberculous peritonitis(n=3),highly attenuated ascites(n=6), adrenal tuberculosis(n=1), renal tuberculosis(n=1), ovarian abscess(n=1), psoasabscess(n=1), and systemic tuberculosis such as central nervous system tuberculoma(n=2), cervicallymphadenopathy(n=4) and tuberculous spondylitis(n=1) were noted. CONCLUSION: Ultrasonography and CT werevaluable in the detection and diagnosis of hepatosplenic tuberculosis
