A case of tubercular liver and splenic abscesses

H. Miyagi, A. Nakamoto, K. Toyoda, M. Gagya, M. Tateyama, K. Kawakami, Nobuchika Kusano, A. Saito

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Abstract

A 34-years male was admitted to our hospital with a hypochondria pain and low grade fever. Abdominal CT revealed an encapsulated 8 x 3 cm low density lesion on the surface of the liver (S5, S8) and multiple low density lesions of the spleen. The patient had already been treated with anti-tuberculous drugs for the past 7 months after being diagnosed as tuberculous pleuritis. Although echo-guided percutaneous needle biopsy was tried for the hepatic lesion, no special finding was obtained. Therefore a diagnostic laparotomy was performed and the hepatic lesion was resected. Abscess formation of the resected lesion was noted. Histopathology of the lesion revealed epithelioid granuloma, but microscopy, culture and PCR for tuberculosis revealed negative results. Abdominal CT, 3 weeks after surgery, revealed enlargement of the splenic lesion. Splenectomy was carried out to avoid splenic rupture. Multiple abscess of the resected spleen was noted. Pathological finding, Ziehl-Neelsen stain and PCR for tuberculosis confirmed the diagnosis of tubercular splenic and liver abscess. Although tubercular liver and splenic abscess are very rare recently, it should be included in the differential diagnosis of unknown hepatic and splenic lesions.

Original languageEnglish
Pages (from-to)1116-1121
Number of pages6
JournalKansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases
Volume70
Issue number10
Publication statusPublished - Oct 1996
Externally publishedYes

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Miyagi, H., Nakamoto, A., Toyoda, K., Gagya, M., Tateyama, M., Kawakami, K., Kusano, N., & Saito, A. (1996). A case of tubercular liver and splenic abscesses. Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases, 70(10), 1116-1121.