[Tuberculosis of the spleen--very rare site of extrapulmonary TB].
The extrapulmonary tuberculosis (TB) includes all the sites excepting lung, its origin being in the hematogenous disseminating foci within the main infection. The case of a woman, aged 36, is presented suffering of second degree obesity and type II diabetes mellitus under diet. She was admitted in the Surgery Clinics I of Emergency "Floreasca" Hospital (October 21, 2008) for discontinuous pains, relatively strong in the left hypocondrium, vesperal fever, perspirations, symptoms being present for 5 months. The investigations carried out before and after the admission show the presence of a splenomegaly (stage I-WHO), the absence of hypersplenism, portal hypertension, or other objective elements--excepting those mentioned at admittance--as well as the imaging changes (thoracic abdominal CT: spleen with an axis of 17 cm length, multiple solid hypodense lesions with a diameter of 5 cm). The surgical intervention is undergone (laparoscopic splenectomy). The morphological-pathological diagnosis was tuberculosis of the spleen. Considerations are made on this TB rare site.
Didilescu
C
C
Institutul de Pneumoftiziologie Marius Nasta Bucureşti, Dispensar TB Sector 4. didilescu@yahoo.com
Lugoji
Doina
D
Olteanu
S
S
Barta
B
B
Scurtu
R
R
D000328:Adult; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D005260:Female; D006801:Humans; D010535:Laparoscopy; D009765:Obesity / Q000150:complications; D013156:Splenectomy; D013163:Splenomegaly / Q000382:microbiology / Q000601:surgery*; D016896:Treatment Outcome; D014400:Tuberculosis, Splenic / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*