Korean J Pediatr Gastroenterol Nutr.  2004 Mar;7(1):108-111.

A Case of Hepatosplenic Tuberculous Abscess

Affiliations
  • 1Department of Pediatrics, Sanggyepaik Hospital, College of Medicine, Inje University, Seoul, Korea. pedchung@sanggyepaik.ac.kr
  • 2Department of Radiology, Sanggyepaik Hospital, College of Medicine, Inje University, Seoul, Korea.

Abstract

Tuberculosis is not a common cause of liver abscess and it is rarely considered in the differential diagnosis of a patient with hepatic mass. We report a case of tuberculous abscess of liver and spleen in a 15-year-old boy who presented with abdominal pain, fever and weight loss. The ultrasonographic and computed tomographic scan of the abdomen revealed multiple cystic lesions in the liver and spleen. Mycobacterium tuberculosis was cultured from the ascitic fluid and biopsy specimen of lymph node. Follow up CT scan of the abdomen after anti-tuberculosis medication for eighteen months showed complete resolution of the cystic lesions with calcified nodules.

Keyword

Tuberculous abscess; Liver; Spleen

MeSH Terms

Abdomen
Abdominal Pain
Abscess*
Adolescent
Ascitic Fluid
Biopsy
Diagnosis, Differential
Fever
Follow-Up Studies
Humans
Liver
Liver Abscess
Lymph Nodes
Male
Mycobacterium tuberculosis
Spleen
Tomography, X-Ray Computed
Tuberculosis
Weight Loss
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