Tuberculosis of the spleen – very rare site of extrapulmonary TB

Abstract

C.Didilescu1, Doina Lugoji1, S.Olteanu2, B.Barta2, R.Scurtu3
1Institutul de Pneumoftiziologie "Marius Nasta" Bucuresti, Dispensar TB Sector 4
2Spitalul Clinic de Urgenta Bucuresti, Clinica de Chirurgie I
3Spitalul Clinic de Urgenta Bucuresti, Laboratorul de Anatomie Patologica

Contact: Cristian Didilescu, Institutul de Pneumologie „Marius Nasta", Sos. Viilor 90, Bucuresti, didilescu@yahoo.com

ABSTRACT
The extrapulmonary tuberculosis (TB) includes all the sites excepting lung, its origin being in the hematogenous disseminating foci within the main infection.
The case of a woman, aged 36, is presented suffering of second degree obesity and type II diabetes mellitus under diet. She was admitted in the Surgery Clinics I of Emergency "Floreasca" Hospital (October 21, 2008) for discontinuous pains, relatively strong in the left hypocondrium, vesperal fever, perspirations, symptoms being present for 5 months.
The investigations carried out before and after the admission show the presence of a splenomegaly (stage I - WHO), the absence of hypersplenism, portal hypertension, or other objective elements - excepting those mentioned at admittance - as well as the imaging changes (thoracic abdominal CT: spleen with an axis of 17 cm length, multiple solid hypodense lesions with a diameter of 5 cm). The surgical intervention is undergone (laparoscopic splenectomy). The morphological-pathological diagnosis was tuberculosis of the spleen. Considerations are made on this TB rare site.
Keywords: extrapulmonary tuberculosis, spleen abscess, splenectomy

Files