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A Case of Splenic Tuberculosis Forming a Gastro-splenic Fistula.
Lee, Kyong Joo; Yoo, Jin Sae; Jeon, Hosung; Cho, Sung Kook; Lee, Ji Hyun; Ha, Sung Sam; Cho, Mee Yon; Kim, Jae Woo.
Afiliação
  • Lee KJ; Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
  • Yoo JS; Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
  • Jeon H; Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
  • Cho SK; Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
  • Lee JH; Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
  • Ha SS; Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
  • Cho MY; Department of Pathology, Yonsei University Wonju College of Medicine, Wonju, Korea.
  • Kim JW; Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
Korean J Gastroenterol ; 66(3): 168-71, 2015 Sep.
Article em En | MEDLINE | ID: mdl-26387701
We report a case of a 61-year-old man who presented with a cough and abdominal discomfort. CT scan of the chest showed two lesions across both lungs, and an abdominal CT scan revealed multiple hypodense lesions in the spleen with cystic lesions on the splenic hilum. Upper gastrointestinal tract endoscopy found creamy yellowish discharge through a fistula between the stomach and splenic hilum. Under fluoroscopic guidance, forceps was inserted into the fistula tract, and forcep biopsy was done. The pathology was consistent with tuberculosis, and a nine-month anti-tuberculosis medication regimen was started. Imaging performed three months after finishing medication indicated improvement of splenic lesions, and the gastro-splenic tract was sealed off. This case is a very rare clinical example of secondary splenic tuberculosis with a gastro-splenic fistula formation in an immunocompetent patient.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Esplenopatias / Tuberculose Esplênica Tipo de estudo: Diagnostic_studies / Guideline Limite: Humans / Male / Middle aged Idioma: En Revista: Korean J Gastroenterol Assunto da revista: GASTROENTEROLOGIA Ano de publicação: 2015 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Esplenopatias / Tuberculose Esplênica Tipo de estudo: Diagnostic_studies / Guideline Limite: Humans / Male / Middle aged Idioma: En Revista: Korean J Gastroenterol Assunto da revista: GASTROENTEROLOGIA Ano de publicação: 2015 Tipo de documento: Article