A Case of Splenic Tuberculosis Forming a Gastro-splenic Fistula / 대한소화기학회지
The Korean Journal of Gastroenterology
;
: 168-171, 2015.
Article
Dans Anglais
| WPRIM
| ID: wpr-202458
ABSTRACT
We report a case of a 61-year-old man who presented with a cough and abdominal discomfort. CT scan of the chest showed two lesions across both lungs, and an abdominal CT scan revealed multiple hypodense lesions in the spleen with cystic lesions on the splenic hilum. Upper gastrointestinal tract endoscopy found creamy yellowish discharge through a fistula between the stomach and splenic hilum. Under fluoroscopic guidance, forceps was inserted into the fistula tract, and forcep biopsy was done. The pathology was consistent with tuberculosis, and a nine-month anti-tuberculosis medication regimen was started. Imaging performed three months after finishing medication indicated improvement of splenic lesions, and the gastro-splenic tract was sealed off. This case is a very rare clinical example of secondary splenic tuberculosis with a gastro-splenic fistula formation in an immunocompetent patient.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Rate
/
Maladies de la rate
/
Tuberculose splénique
/
Radioscopie
/
Tomodensitométrie
/
Échographie
/
Fistule gastrique
/
Gastroscopie
/
Antituberculeux
Type d'étude:
Etude diagnostique
/
Guide de pratique
Limites du sujet:
Humains
/
Mâle
langue:
Anglais
Texte intégral:
The Korean Journal of Gastroenterology
Année:
2015
Type:
Article
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