= Abstract = A Case with Splenic Tuberculosis Doo-Sun Lee, M.D., Na Hye Myong, M.D. Section of Pediatric Surgery, Departments of General Surgery and Anatomic Pathology, College of Medicine, Dankook University, Cheonan, Korea 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 multi- ple hypoec:hoi<: nod\\\e-s a\\d abdl)ID.lna\ (,1' uisdosea mu)tip)e irregular hypodense lesions in the spleen. Radiological interpretation suggested the possibility of lym- phoma or metastatic malignancy. Splenectomy was done and the histopathologic- al findings showed extensive chronic: granulomatous inflammation compatible with tuberculosis. Splenic tuberculosis 1l1ust be included in the differential diag- nosis of hypoechoic and hypodense lesions by means of sonography and comput- ed tomography, respectively. Index Words: Spleen, Tuberculosis. 4C1t.-J-ct-i::- 9lq . {i{)';;-oJl VoJ J. i£ .;;- 7 }oJ1 A l-i::- VoJ AH 5!- o l t]:{J.Qj rjj AJO ] Vq. iIl ] o].2JoJ] £ oj-=- ;;<J7 ]oJ]t.-J- W 7} 9lq . ..::lcil.-f E} ;;<J7]oJ]-i::- o}.!¥- 0] AJOJ 0] tl];;<JoJl %-AJ% t"} -i::- oj]:::: 7.i7.}-i::- tl];;<JoJ]o J 13\:1 ';:to} (7J 0 )7} Zl- .Qj 4 74] -¥- %.!8-.i!l- A ]6i 'tl % 9- ±5!- 1994\1 12-%l '6}S1,q. '-+ E}t.-J-7] {!7J 5"}S1. .Q.. uj ±7,::!"'J 4 7-l] 'ff.!8- o ] oJl-i::- qJ"<} 12.6g/dl, 37.2%, 8.890/ mm 3 , -200 -
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A Case with Splenic Tuberculosis - KoreaMed · 2018-10-15 · = Abstract = A Case with Splenic Tuberculosis Doo-Sun Lee, M.D., Na Hye Myong, M.D. Section of Pediatric Surgery, Departments
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= Abstract =
A Case with Splenic Tuberculosis
Doo-Sun Lee, M.D., Na Hye Myong, M.D.
Section of Pediatric Surgery, Departments of General Surgery and Anatomic
Pathology, College of Medicine, Dankook University, Cheonan, Korea
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 hypoec:hoi<: nod\\\e-s a\\d abdl)ID.lna\ (,1' uisdosea mu)tip)e 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.