The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
권호 표지

A case of accessory splenic tuberculosis mimicking a distal pancreatic tumor

췌장미부 종양으로 오인된 부비장 결핵 1예

  • Park, Seong-Hu (Department of Internal Medicine, Busan Medical Center) ;
  • Lee, Dong-Gun (Department of Internal Medicine, Busan Medical Center) ;
  • Choi, Jeong-Mun (Department of Internal Medicine, Busan Medical Center) ;
  • Seo, Jong-Hun (Department of Internal Medicine, Busan Medical Center) ;
  • Yang, Mi-Jin (Department of Internal Medicine, Busan Medical Center) ;
  • Lim, Dae-Kwan (Department of Internal Medicine, Busan Medical Center) ;
  • Lee, Sang-Ho (Department of Internal Medicine, Busan Medical Center)
  • 박성후 (지방공사 부산의료원 내과) ;
  • 이동건 (지방공사 부산의료원 내과) ;
  • 최정문 (지방공사 부산의료원 내과) ;
  • 서종훈 (지방공사 부산의료원 내과) ;
  • 양미진 (지방공사 부산의료원 내과) ;
  • 임대관 (지방공사 부산의료원 내과) ;
  • 이상호 (지방공사 부산의료원 내과)
  • Received : 2009.07.01
  • Accepted : 2009.09.14
  • Published : 2010.07.01
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Abstract

Abdominal tuberculosis usually affects the gastrointestinal tract, peritoneum, lymph nodes, liver or spleen. Tuberculosis of the spleen is uncommon, except when associated with miliary dissemination. We report a case of a 33-year-old man with tuberculosis of the accessory spleen, which was originally suspected to be a distal pancreatic tumor. He was admitted with a history of left upper quadrant abdominal pain for 3 months. Computed tomography imaging of the abdomen revealed a 4.5 cm sized poorly defined hypodense mass in the distal pancreas and showed multiple focal hypodense lesions in the enlarged spleen. We performed distal pancreatectomy and splenectomy under the preoperative expectation of a distal pancreatic tumor. Microscopic examination of the specimens revealed accessory splenic tuberculosis associated with splenic tuberculosis. Following this, he was treated with appropriate antituberculosis drugs and was discharged without any complications.

저자들은 33세 남자 환자에서 비장 경색을 동반한 췌장 미부 종양으로 오인된 부비장 및 비장 결핵을 경험하였기에 문헌고찰과 함께 보고하고자 한다.

Keywords

References

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