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脾脏孤立性结核:一例报告并文献复习

Isolated tuberculosis of the spleen: A case report and review of literature.

作者信息

Mishra H, Pradeep R, Rao G V, Anuradha S, Nageshwar Reddy D

机构信息

Department of Surgical Gastroenterology, Asian Institute of Gastroenterology, 6-3-661, Somajiguda, Hyderabad, 500082 India.

Department of Pathology, Asian Institute of Gastroenterology, 6-3-661, Somajiguda, Hyderabad, 500082 India.

出版信息

Indian J Surg. 2013 Jun;75(3):235-6. doi: 10.1007/s12262-012-0511-y. Epub 2013 Feb 15.

DOI:10.1007/s12262-012-0511-y
PMID:24426436
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3689384/
Abstract

Isolated involvement of spleen in tuberculosis is a rare entity, particularly among immunocompetent hosts. Herein, we present a 28-year-old man with left abdominal discomfort for 2 years who was found to have a cystic lesion in spleen on evaluation. Eventually, he was diagnosed to have isolated splenic tuberculosis with an involvement of a single lymph node at the splenic hilum. In this rare form of tuberculosis, it seems that splenectomy in addition to standard antitubercular therapy is curative.

摘要

脾脏孤立性结核受累是一种罕见情况,在免疫功能正常的宿主中尤为罕见。在此,我们报告一名28岁男性,有2年的左腹部不适,经评估发现脾脏有一个囊性病变。最终,他被诊断为孤立性脾结核,脾门处有一个淋巴结受累。在这种罕见的结核形式中,除标准抗结核治疗外,脾切除术似乎具有治愈作用。

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本文引用的文献

1
Radiological manifestations of splenic tuberculosis: a 23-patient case series from India.脾结核的放射学表现:来自印度的23例病例系列研究
Indian J Med Res. 2007 May;125(5):669-78.
2
Laparoscopic diagnosis of splenic tuberculosis.腹腔镜诊断脾结核
Surg Laparosc Endosc Percutan Tech. 2006 Oct;16(5):355-6. doi: 10.1097/01.sle.0000213723.26967.c6.
3
Solitary splenic lesions.孤立性脾脏病变
Semin Ultrasound CT MR. 2006 Oct;27(5):370-88. doi: 10.1053/j.sult.2006.06.003.
4
From the archives of the AFIP: primary vascular neoplasms of the spleen: radiologic-pathologic correlation.源自武装部队病理研究所档案:脾脏原发性血管肿瘤的影像学与病理对照研究
Radiographics. 2004 Jul-Aug;24(4):1137-63. doi: 10.1148/rg.244045006.
5
[Incidence and clinical features of splenic abscesses, with special reference to tuberculous etiology in a general hospital].[脾脓肿的发病率及临床特征,特别提及综合医院中结核病因]
Gastroenterol Hepatol. 1998 Dec;21(10):479-82.
6
Response to antituberculous chemotherapy after splenectomy.脾切除术后对抗结核化疗的反应。
J Intern Med. 1993 Jan;233(1):81-3. doi: 10.1111/j.1365-2796.1993.tb00653.x.