Advances in pediatric surgery
- Volume 1 Issue 2
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- Pages.200-203
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- 1995
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- 2635-8778(pISSN)
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- 2635-8786(eISSN)
A Case with Splenic Tuberculosis
비장 결핵
- Lee, Doo-Sun (Section of Pediatric Surgery, Department of General Surgery and Anatomic Pathology, College of Medicine, Dankook University) ;
- Myong, Na-Hye (Section of Pediatric Surgery, Department of General Surgery and Anatomic Pathology, College of Medicine, Dankook University)
- Published : 1995.11.15
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 must be included in the differential diagnosis of hypoechoic and hypodense lesions by means of sonography and computed tomography, respectively.