Hepatic and splenic tuberculosis

Dr Craig Hacking and Dr Aditya Shetty et al.

Hepatic and splenic tuberculosis refers to tuberculosis affecting liver and spleen. It generally occurs due to spread from the primary site of infection, commonly from pulmonary tuberculosis.

Two types of lesions are known:

  • micronodular (common)
  • macronodular (rare)

Nonspecific features are usually seen. There may be small hypoechoic nodules (miliary type) or a larger hypoechoic mass-like area 2.

  • micronodular type
    • low attenuation areas with central enhancement (acute stage)
    • calcification (chronic stage)
  • macronodular type
    • single or large tumour-like mass
    • diffuse hepatosplenomegaly

Differential diagnosis

  • for micronodular type
  • for macronodular type

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Article information

rID: 27652
Synonyms or Alternate Spellings:
  • Splenic tuberculosis
  • Liver tuberculosis
  • Hepatic tuberculosis
  • Spleen tuberculosis
  • Hepatic and splenic tuberculosis (TB)

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Cases and figures

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    Case 1: hepatic tuberculosis
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    Case 2: macronodular hepatic tuberculosis
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