Clinical Analysis on 16 Cases with Splenic Tuberculosis

Objective To summarize the clinical features,diagnosis and treatment of splenic tuberculosis.Methods The clinical data of 16 cases with splenic tuberculosis were retrospectively analyzed.Results Among 16 patients,fever was found in 11,night sweat in 6,abdominal distension in 8,abdominal pain in 10,splenomegaly in 13.Abdominal CT and ultrasonic examinations revealed focal splenic space occupying lesions in 10 cases,focal calcifications in 3,and splenomegaly in 3 cases.9 cases of splenic tuberculosis were determined by surgery,3 cases by local spleen calcifications,and 4 cases by diagnostic therapy.Among the 16 patients,8 cases had extrasplenic tuberculosis.All the patients received anti-tuberculosis chemotherapy for more than half a year,and recovered well.Conclusion The diagnosis of splenic tuberculosis is mainly referring to pathology and diagnostic therapy.Systemic anti-tuberculous therapy and selectivity surgical treatment are the main therapenutic method.