Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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A Case of Hepatosplenic Tuberculous Abscess

간과 비장에서 발생한 결핵성 농양 1례

  • Han, Yu Seok (Department of Pediatrics, Sanggyepaik Hospital, College of Medicine, Inje University) ;
  • Chung, Ju Young (Department of Pediatrics, Sanggyepaik Hospital, College of Medicine, Inje University) ;
  • Kim, Sang Woo (Department of Pediatrics, Sanggyepaik Hospital, College of Medicine, Inje University) ;
  • Kim, Sung Hee (Department of Radiology, Sanggyepaik Hospital, College of Medicine, Inje University)
  • 한유석 (인제대학교 의과대학 소아과학교실) ;
  • 정주영 (인제대학교 의과대학 소아과학교실) ;
  • 김상우 (인제대학교 의과대학 소아과학교실) ;
  • 김성희 (인제대학교 의과대학 방사선과학교실)
  • Received : 2004.02.28
  • Accepted : 2004.03.18
  • Published : 2004.03.01
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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.

저자들은 발열과 복통을 호소하는 15세 남아에서 항결핵 약물로 호전된 매우 드문, 간과 비장의 결핵성 농양 1례를 경험하여 보고하는 바이다.

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