A Case of Splenic Tuberculosis Forming a Gastro-splenic Fistula

Kyong J.oo Lee, Jin S.ae Yoo, Hosung Jeon, Sung K.ook Cho, Ji H.yun Lee, Sung S.am Ha, Mee Y.on Cho, Jae W.oo Kim

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)168-171
Number of pages4
JournalThe Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi
Volume66
Issue number3
DOIs
Publication statusPublished - 2015 Sep 1

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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