Hepatic and splenic tuberculosis

Dr Vikas Shah and Dr Aditya Shetty et al.

Hepatic and splenic tuberculosis refers to tuberculosis affecting the liver and the spleen. It generally occurs due to haematogenous 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, including hepatosplenomegaly and abscesses 3.

There may be small hypoechoic nodules (miliary type) or larger hypoechoic mass-like areas 2,3.

  • micronodular (miliary) type 3
    • multiple
    • small low attenuation areas with central enhancement (acute stage)
    • calcification (chronic stage)
  • macronodular type 3
    • single or large tumor-like mass
    • diffuse hepatosplenomegaly
  • T1: lesions usually isointense when compared to the background parenchyma
  • T2: mixed signal with hyperintense areas
  • C+ (Gd):  variable, reflecting the phases of the disease

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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

  • Figure 1: spleen
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  • Case 1: macronodular hepatic tuberculosis
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  • Case 2: macronodular hepatic tuberculosis
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  • Case 3: splenic tuberculosis
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