Adil A, Chikhaoui N, Ousehal A, Kadiri R
Service Central de Radiologie, CHU Ibn Rochd, CASABLANCA, Maroc.
Ann Radiol (Paris). 1995;38(7-8):403-7.
Tuberculosis of the spleen is not exceptional. The authors report ten cases which occurred with a predominance in young male adults. All patients had at least one other site of tuberculosis, without any HIV infection. All patients had focal splenic lesions in the form of scattered hypoechogenic and hypodense nodules. These nodules had a pseudo-tumor appearance in one case. CT-guided puncture was performed in one case. Splenic tuberculosis is not as rare as is sometimes thought. The CT-guided splenic puncture is now performed routinely and remains the ideal diagnostic approach.
脾脏结核并不罕见。作者报告了10例病例,这些病例主要发生在年轻男性成年人中。所有患者至少有一个其他部位的结核,且无任何艾滋病毒感染。所有患者均有局灶性脾脏病变,表现为散在的低回声和低密度结节。其中1例结节有假肿瘤外观。1例进行了CT引导下穿刺。脾脏结核并不像有时认为的那么罕见。CT引导下脾脏穿刺目前已常规进行,仍然是理想的诊断方法。