D'Cruz Kenneth, Angamuthu Natarajan, Anand J, D'Souza George
Division of Surgical Gastroenterology & Chest Medicine, Department of Surgery, St. John's Medical College Hospital, Bangalore.
Trop Gastroenterol. 2005 Jan-Mar;26(1):40-2.
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).
肝脾结核（HST）在外科实践中很少见，见于播散性结核病患者。一名20岁不明原因发热（PUO）的女性随后被诊断为淋巴结结核并累及肝脏和脾脏。尽管进行了3个月的抗结核治疗（ATT），但临床症状并未改善，发热持续。进行了腹腔镜脾切除术和肝冷脓肿引流，效果良好。抗酸杆菌涂片（AFB）、结核分枝杆菌培养和组织病理学检查（HPE）确诊为结核病（TB）。
