Ais G, Ortega M, Esteban F, González A, Manzanares J
Servicio de Cirugía General, Hospital General, Segovia.
Rev Esp Enferm Dig. 1993 May;83(5):397-9.
We report a case of abdominal tuberculosis with predominant splenic involvement and hypersplenism in a patient without any risk factor for tuberculosis. We review the literature and emphasize the unusual splenic involvement, the difficulties in the specific diagnosis and the therapeutic strategy. We conclude that this disease should be included in the differential diagnosis of hypersplenism.
我们报告一例无任何结核病危险因素的患者发生以脾脏受累为主且伴有脾功能亢进的腹部结核病例。我们回顾了文献,并强调了脾脏受累的不寻常之处、特异性诊断的困难以及治疗策略。我们得出结论,该病应列入脾功能亢进的鉴别诊断范围。