TITLE:
Hepato Splenic Tuberculosis in Acute Cholecystitis
AUTHORS:
Mountassir Moujahid, Hicham Iraqui, Mohamed Ghari, Issam Serghini, Khalid Chekoura, Moulay Hassan Tahiri
KEYWORDS:
Tuberculosis, Endemic, Liver, Spleen, Diagnosis, Treatment
JOURNAL NAME:
International Journal of Clinical Medicine,
Vol.5 No.14,
July
25,
2014
ABSTRACT:
Background: The
tuberculosis is an endemic disease in our country; it remains a major public
health problem. Liver and splenic tuberculosis is a classic disease which
represents 1.5% of all gastrointestinal tuberculosis. Patients and Methods: We
reported the case of a fifty-six years old patient admitted in the department
of surgery for acute cholecystitis, and the biological balance showed a
hyperleukocytosis at 16,000 elements/mm3 and a CRP at 25 with a
light cholestasis. The abdominal scanner showed a micronodular splenomegaly
with coelio mesenteric ganglions. We discovered a tuberculosis location in the
liver and the spleen and we realized a cholecystectomy with a hepatic biopsy
and a splenectomy. Results: A gallbladder ablation associated with an enlarged
spleen and liver biopsy was diagnosed with liver and splenic tuberculosis. The patient
was put under anti tubercular treatment with the good clinical and radiological
evolution. Conclusion: The diagnosis of tuberculosis should always be
considered especially in endemic countries.