A Case of Splenic Tuberculosis Forming a Gastro-splenic Fistula / 대한소화기학회지
The Korean Journal of Gastroenterology
; : 168-171, 2015.
Article
en En
| WPRIM
| ID: wpr-202458
Biblioteca responsable:
WPRO
ABSTRACT
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.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Bazo
/
Enfermedades del Bazo
/
Tuberculosis Esplénica
/
Fluoroscopía
/
Tomografía Computarizada por Rayos X
/
Ultrasonografía
/
Fístula Gástrica
/
Gastroscopía
/
Antituberculosos
Tipo de estudio:
Diagnostic_studies
/
Guideline
Límite:
Humans
/
Male
Idioma:
En
Revista:
The Korean Journal of Gastroenterology
Año:
2015
Tipo del documento:
Article