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Hepatosplenic involvement of tuberculosis: an uncommon presentation that demands attention in specific scenarios.
Rev Esp Enferm Dig
July 2024
Radiology, School of Medical Sciences. University of Campinas (UNICAMP), BRAZIL.
Article Synopsis
- Abdominal tuberculosis (TB) should be considered in patients using immunosuppressants, those with HIV, or those from areas where TB is common, even if they don't show pulmonary TB signs.
- Only about 15% of abdominal TB patients have evidence of lung involvement, but liver and spleen are often affected in widespread TB cases, typically presenting as fine miliary lesions.
- Rarely, TB can manifest in the liver or spleen as larger macronodular patterns, with the liver involvement happening through the portal vein and splenic involvement showing variable appearances based on disease stage.
An Unusual Presentation of Extremely Early Neonatal Cirrhosis in Shwachman-Diamond Syndrome: A Case Report.
Cureus
May 2023
Department of Neonatology, Niloufer Hospital, Hyderabad, IND.
Exocrine pancreatic insufficiency, haematological dysfunction, and skeletal abnormalities are the three clinical characteristics of the rare inherited bone marrow failure syndrome (IBMFS), known as Shwachman-Diamond syndrome (SDS). Cirrhosis at a neonatal age is uncommon and is typically not documented, as in neonatal presentation. Here, we present a case of SDS in which bi-cytopenia with macro-nodular cirrhosis emerged before the age of one month.
View Article and Find Full Text PDFApplication of Indocyanine Green Fluorescence as an Adjuvant to Laparoscopic Ultrasound in Minimally Invasive Liver Resection.
J Laparoendosc Adv Surg Tech A
May 2021
Unit of HepatoBilioPancreatic and Digestive Surgery, Department of Health Sciences, San Paolo Hospital, University of Milan, Milan, Italy.
Indocyanine green (ICG) fluorescence imaging has been extensively used in a variety of applications in visceral surgery. In minimally invasive liver resections, the detection of small superficial hepatic lesions using an intravenous injection of ICG before surgery represents a promising application. We analyzed 18 consecutive patients who underwent laparoscopic liver resection for superficial malignant tumors, namely 11 patients with hepatocellular carcinoma (HCC), 5 patients with colorectal liver metastases (CRLM), 1 patient with intrahepatic cholangiocarcinoma (ICC), and 1 patient with thyroid cancer metastasis, using ICG fluorescence as an adjuvant tool to intraoperative laparoscopic ultrasound (LUS).
View Article and Find Full Text PDFComparison of liver stiffness measurement with MRE and liver and spleen volumetry for prediction of disease severity and hepatic decompensation in patients with primary sclerosing cholangitis.
Abdom Radiol (NY)
March 2020
Department of Radiology, Mayo Clinic, Rochester, MN, USA.
Purpose: To compare liver stiffness measurement (LSM) with magnetic resonance elastography (MRE) and liver and spleen volumetry for prediction of disease severity and hepatic decompensation in primary sclerosing cholangitis (PSC).
Methods: This retrospective study was approved by the institutional review board. Magnetic resonance imaging (MRI) and MRE studies were reviewed, and mean LSM of entire liver, right lobe and left lobe, total liver, right lobe, left lobe, caudate lobe, and spleen volumes were calculated.
Supersonic shear-wave elastography and APRI for the detection and staging of liver disease in pediatric cystic fibrosis.
J Cyst Fibros
May 2020
Hepatic Fibrosis Group, QIMR Berghofer Medical Research Institute, 300 Herston Rd, Herston, QLD 4006, Australia; Faculty of Medicine, The University of Queensland, Brisbane, QLD 4006, Australia. Electronic address:
Background: Current diagnostic methods for the diagnosis of Cystic fibrosis (CF)-associated liver disease (CFLD) are non-specific and assessment of disease progression is difficult prior to the advent of advanced disease with portal hypertension. This study investigated the potential of Supersonic shear-wave elastography (SSWE) to non-invasively detect CFLD and assess hepatic fibrosis severity in children with CF.
Methods: 125 children were enrolled in this study including CFLD (n = 55), CF patients with no evidence of liver disease (CFnoLD = 41) and controls (n = 29).
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