ABSTRACT
Hepatosplenic tuberculosis (HST), rarely encountered in surgical practice, is seen in-patients with disseminated tuberculosis. A 20-year-old female presenting with pyrexia of unknown origin (PUO) was subsequently diagnosed to have lymph-nodal tuberculosis with involvement of liver and spleen. Despite anti-tuberculosis treatment (ATT) for 3 months, clinical improvement did not occur and fever persisted. Laparoscopic splenectomy and drainage of the hepatic cold abscess were done with favorable results. Smear for acid fast bacilli (AFB), culture for Mycobacterium tuberculosis and histopathological examination (HPE) established the diagnosis of tuberculosis (TB).
Subject(s)
Laparoscopy , Tuberculosis, Hepatic/surgery , Tuberculosis, Multidrug-Resistant/surgery , Tuberculosis, Splenic/surgery , Adult , Antitubercular Agents/administration & dosage , Diagnosis, Differential , Female , Fever of Unknown Origin , Humans , Tuberculosis, Hepatic/diagnosis , Tuberculosis, Multidrug-Resistant/diagnosis , Tuberculosis, Splenic/diagnosisABSTRACT
We report the occurrence of inadvertent injury to the intra-pancreatic common bile duct in 3 of 9 patients undergoing Frey's procedure for chronic pancreatitis with inflammatory mass in the head. In one case, the choledochotomy was extended and anastomosed to the cored-out parenchyma. In the other two, after lateral pancreatico-jejunostomy, hepatico-jejunostomy was performed using the same Roux loop.
