Focal splenic lesions in patients with AIDS: sonographic findings

Abstract

In our area, the finding of splenomegaly with small, multiple, hypoechoic lesions in AIDS patients should make clinicians suspect splenic tuberculosis as a first possibility.

A Case of Mass-Forming Splenic Tuberculosis: MRI Findings with Emphasis of Diffusion-Weighted Imaging Characteristics

“…Radiologically, splenic tuberculosis has been categorized into micronodular or macronodular forms, depending on whether it is smaller or larger than 10 mm (2, 13, 14). Micronodular tuberculosis is more common and tends to have multiple nodules, usually seen in disseminated systemic tuberculosis.…”

Tuberculosis of the Spleen as a Cause of Fever of Unknown Origin and Splenomegaly

“…Perisinusoidal inflammation and perisinusoidal fibrosis may develop in relation to tubercular granulomas, which may lead to progressive obstruction to venous drainage that may further result in splenomegaly and hypersplenism. On USG, splenic tuberculosis usually presented as multiple small hypoechoic lesions 1,6 and CECT may demonstrate hypodense lesions. 3,6,15 Tuberculosis has been reported as a rare cause of splenic abscess.…”

Detection of splenic microabscesses with ultrasound as a marker for extrapulmonary tuberculosis in patients with HIV: A systematic review

“…Porcel-Martin et al [40] (1998) published a retrospective review of patients with HIV who underwent abdominal ultrasonography between January 1987 and December 1995 at one hospital in Spain. The objective of their research was to describe splenic ultrasound findings in this patient population.…”