Laparoscopic Diagnosis of Splenic Tuberculosis

Meshikhes, Abdul-Wahed Nasir; Al-Momen, Sami

doi:10.1097/01.sle.0000213723.26967.c6

Cited by 16 publications

(15 citation statements)

References 2 publications

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“…The spleen is the most affected abdominal organ with tuberculosis [3]. In 1966, Lundstedt et al reported 11 cases of splenic involvement in their series of 112 patients with abdominal tuberculosis [4].…”

Section: Discussionmentioning

confidence: 99%

Splenic tuberculosis presenting as fever of unknown origin with severe neutropenia

Azzam

2013

Annals of Clinical Microbiology and Antimicrobials

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Fever of undetermined origin always poses a challenging problem to the physician. Tuberculosis is an important health problem in developing countries. It is mostly seen in immune-compromised patients. And it is one of the common causes of fever of unknown origin. I am reporting a case of a splenic tuberculosis in 48 years old male who is not known of any immune deficiency state, he was presented with 3 weeks history of fever and found to have severe neutropenia and with negative work up for all hematological, rheumatological and malignant causes. A computerized tomography scan of the abdomen confirmed splenic enlargement with multiples hypo dense lesions consist with either splenic infection or splenic lymphoma so exploratory splenectomy was performed. Histological examination revealed granulomatouse inflammation with numerous acid fast bacilli consist with tuberculosis. He was started on four anti-tuberculouse drugs. in less than one week his fever subside with normalization of his neutrophilic count

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Section: Discussionmentioning

confidence: 99%

Splenic tuberculosis presenting as fever of unknown origin with severe neutropenia

Azzam

2013

Annals of Clinical Microbiology and Antimicrobials

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“…Surgical intervention in primary splenic tuberculosis has rarely been documented in world literature, restricted to laparoscopic punch biopsies for diagnostic purposes [12], [13]. The definitive modality of minimally invasive surgical intervention in the form of laparoscopic splenectomy as a diagnostic and therapeutic adjuvant to anti-tubercular therapy, not only mitigates the local symptoms of patient, but also reduces the disease load.…”

Section: Discussionmentioning

confidence: 99%

Isolated primary tuberculosis of spleen—A rare entity in the immuno-competent patient

Kumar

Pai

Tungenwar

et al. 2017

International Journal of Surgery Case Reports

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HighlightsSplenic involvement in Tuberculosis is generally miliary and in the immuno-compromised host.Isolated splenic tuberculosis in otherwise healthy patient is rare.Global burden of tuberculosis is largely contributed by sputum smear negative and extra-pulmonary cases.Need to accurately screen, diagnose and treat these category of cases.Use of minimally invasive surgery for diagnosis and therapy has been advocated.

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“…Early diagnostic laparoscopy currently is emerging as an important tool in the diagnostic armamentarium of abdominal TB [1][2][3]. However, the laparoscopic view may be deceiving even to the most experienced eye, and it is not uncommon for abdominal TB to be diagnosed erroneously as abdominal carcinomatosis and vice versa before the final histologic confirmation is received.…”

Section: Introductionmentioning

confidence: 98%