결핵성 비장농양 1예
A Case of Tuberculous Splenic Abscess
정순주, 김정철, 조철균, 김현종,
소속 상세정보
정순주 ( Jeong Soon-Ju )
전남대학교 의과대학 외과학교실
김정철 ( Kim Jung-Chul )
전남대학교 의과대학 외과학교실
조철균 ( Cho Chol-Kyoon )
전남대학교 의과대학 외과학교실
김현종 ( Kim Hyun-Jong )
전남대학교 의과대학 외과학교실
KMID : 0371320010610030339
Abstract
Splenic abscesses in the tropics assume importance because of their unusual aetiology. They may be secondary or primary. Splenic tuberculosis is rare and a delay in diagnosis is common. The authors report a patient with splenic and mesenteric
tuberculosis who was admitted to the hospital because of an abdominal cyst incidentally detected on ultrasonogram during prenatal fetal monitoring in the Department of Obsterics. The patient had already been treated with anti-tuberulous drugs for
the
previous 18 months after being d
iagnosed as tuberulous pleuritis.
Abdominal sonography and computerized tomography revealed the presence of multiple hypoechoic and hypodense splenic lesions and mesenteric cysts. Diagnostic splenectomy and excision of the mesenteric cysts revealed multiple necrotic masses in the
spleen, consistent with the microscopic findings of caseating granulomatous inflammation. Following splenectomy, the patient was also treated with an anti-tuberculosis regimen with no recurrence of symptoms.
키워드
비장농양; 결핵; 비장적출술; Splenic abscess; Tuberculosis; Splenectomy;
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