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Goubaa Mohamed MD Djerba Tunisia

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This 74-year-old female, was admitted for evaluation of intermittent diarrhea. Examination of the abdomen showed a surprising finding in her Spleen.Note the multiple tiny calcifications in the spleen. Patiente âgée de 74 ans consulte pour une diarrhée récidivante. L'échographie de l'abdomen nous révèle une surprise au niveau de la rate.

 

 

 

 
Patient has a history of tuberculosis since age 20. Multiple hyperechoic areas measuring between 3 mm and 5 mm were seen in the spleen (spleen calcification). Spleen measured 9 x 6 x 5 cm.
Diagnosis : Calcification after spleen tuberculosis. 		Le patient a une histoire de tuberculose depuis l'âge 20 ans. De multiples foyers hyperéchogènes mesurant entre 3 et 5 mm sont visibles dans la rate (calcification de rate). La rate mesure 9 x 6 x 5 cm.
Diagnostic: Calcification : séquelle de tuberculose de rate.
Spleen tuberculosis (after-effects) Tuberculose Splenique (Séquelles)

 

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References
* 1: Am J Gastroenterol. 2003 May;98(5):1022-7. Endoscopic ultrasound-guided biopsy for the diagnosis of focal lesions of the spleen. Fritscher-Ravens A, Mylonaki M, Pantes A, Topalidis T, Thonke F, Swain P. Royal London Hospital, London, United Kingdom.
* 2: J Radiol. 2002 Apr;83(4 Pt 1):479-81. [Isolated tuberculosis of the spleen. Report of a case] [Article in French] Mahi M, Chaouir S, Amil T, Hanine A, Benameur M. Services d'imagerie Medicale, Hopital Militaire d'Instruction Mohamed V, Rabat, Maroc, France. mahi.m@caramail.com
* 3: Int J Clin Pract. 1999 Jun;53(4):318-9. Splenic tuberculosis: an unusual sonographic presentation. Chandra S, Srivastava DN, Gandhi D. Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India.
* 4: Ann Radiol (Paris). 1995;38(7-8):403-7. [Splenic tuberculosis. Apropos of 12 cases] [Article in French] Adil A, Chikhaoui N, Ousehal A, Kadiri R. Service Central de Radiologie, CHU Ibn Rochd, CASABLANCA, Maroc.
* 5: Rev Infect Dis. 1991 Nov-Dec;13(6):1069-71. Related Articles, Links Splenic tuberculosis in patients with AIDS. Pedro-Botet J, Maristany MT, Miralles R, Lopez-Colomes JL, Rubies-Prat J. Department of Medicine, Hospital del Mar, Universidad Autonoma de Barcelona, Spain.
* 6: Clin Radiol. 1991 Feb;43(2):128-9. Related Articles, Links Ultrasound detection of tuberculomas of the spleen. Kapoor R, Jain AK, Chaturvedi U, Saha MM. Department of Radiology, LNJPN Hospital, New Delhi, India.

 

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