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CT findings in splenic tuberculosis

Y Wang1, G He, W Zhan

  • 1Department of Radiology and Diagnostic Ultrasound, Rui Jin Hospital, Shanghai Second Medical University, P. R. China.

Journal Belge De Radiologie
|June 26, 1998
PubMed
Summary
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Splenic tuberculosis is a rare condition often diagnosed late. Computed tomography (CT) revealed characteristic low-density lesions, aiding in diagnosis and guiding further procedures for this uncommon presentation of tuberculosis.

Area of Science:

  • Radiology
  • Infectious Diseases
  • Abdominal Imaging

Background:

  • Splenic tuberculosis is an uncommon manifestation of disseminated tuberculosis.
  • Delayed diagnosis of splenic tuberculosis is frequent due to its rarity and nonspecific symptoms.

Observation:

  • Two cases of splenic tuberculosis are presented, detailing their computed tomography (CT) appearances.
  • CT scans demonstrated multiple, round or ovoid, low-density splenic lesions without calcification.

Findings:

  • Pre-operative CT findings were suggestive of splenic lesions but lacked specific indicators of tuberculosis.
  • Non-specific lymphadenopathy was noted, but no prior history pointed towards tuberculosis before surgical exploration.

Implications:

Related Experiment Videos

  • While CT cannot definitively diagnose splenic tuberculosis, it is crucial for assessing disease extent.
  • CT findings can guide the necessity and approach for aspiration biopsy in suspected splenic tuberculosis cases.