A Case with Splenic Tuberculosis
10.13029/jkaps.1995.1.2.200
- Author:
Doo Sun LEE
1
;
Na Hye MYONG
Author Information
1. Section of Pediatric Surgery, Departments of General Surgery and Anatomic Pathology, College of Medicine, Dankook University, Cheonan, Korea.
- Publication Type:Case Report
- Keywords:
Spleen;
Tuberculosis
- MeSH:
Adolescent;
Diagnosis;
Diagnosis, Differential;
HIV;
Humans;
Inflammation;
Lymphoma;
Male;
Spleen;
Splenectomy;
Splenomegaly;
Thorax;
Tomography, X-Ray Computed;
Tuberculosis;
Tuberculosis, Splenic;
Ultrasonography
- From:Journal of the Korean Association of Pediatric Surgeons
1995;1(2):200-203
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Splenic tuberculosis is an uncommonly considered diagnosis in clinical practice. This is a case report of splenic tuberculosis in a 13-year-old boy who was seronegative to HIV. He was just well until 7 days prior to this admission when he started to feel epigastric and left subchondral pain. Chest X -ray was not pathological. Abdominal ultrasonography showed slight splenomegaly with multiple hypoechoic nodules and abdominal CT disclosed multiple irregular hypodense lesions in the spleen. Radiological interpretation suggested the possibility of lymphoma or metastatic malignancy. Splenectomy was done and the histopathological findings showed extensive chronic granulomatous inflammation compatible with tuberculosis. Splenic tuberculosis 1l1ust be included in the differential diagnosis of hypoechoic and hypodense lesions by means of sonography and computed tomography, respectively.
