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A case of mass-forming splenic tuberculosis: MRI findings with emphasis of diffusion-weighted imaging characteristics

Authors
 Jihe Lim  ;  Jeong-Sik Yu  ;  Soon Won Hong  ;  Jae-Joon Chung  ;  Joo Hee Kim  ;  Ki Whang Kim 
Citation
 Journal of Korean Medical Science, Vol.26(3) : 457-460, 2011 
Journal Title
 Journal of Korean Medical Science 
ISSN
 1011-8934 
Issue Date
2011
Abstract
Tuberculosis remains one of the most prevalent and fatal infectious diseases in spite of considerable improvements in medical science. The diagnosis and treatment of extrapulmonary tuberculosis involving the abdomen is still complicated owing to vague or non-specific clinical features. Although rare, isolated splenic involvement is one of the important manifestations of extrapulmonary tuberculosis, and imaging suspicion of the disease is essential. We report a case of surgically confirmed mass-forming splenic tuberculosis showing a layered pattern consisting of caseous necrosis with profound restriction of water molecules surrounded by an irregular rind of granulation tissue with less diffusion restriction on diffusion-weighted magnetic resonance imaging (DWI). In the differential diagnosis of neoplastic or non-neoplastic mass-forming lesions involving the spleen, this unique DWI feature could be helpful in characterizing splenic tuberculosis. The patient has been in clinically disease free status for nearly 20 months after splenectomy.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/95324
DOI
10.3346/jkms.2011.26.3.457
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실)
Yonsei Authors
김기황(Kim, Ki Whang)
김주희(Kim, Joo Hee)
유정식(Yu, Jeong Sik)
정재준(Chung, Jae Joon)
홍순원(Hong, Soon Won)
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