Isolated tumoral tuberculosis of spleen. (Report of a case)

Introduction. - The tuberculosis isolated tumoral spleen is rare, even in the countries to strong tubercular endemic. Exegesis. - From an observation, concerning an important, tumoral and isolated splenomegaly in 48-year-old-man. The authors put the accent on his tumorous variety by the clinic, the imagery and on macroscopic appearance of the operative piece. Are discussed the isolated character, the way of dissemination, the site of initial infestation and the deceitful character of haematological manifestations. A splenectomy to diagnostic and therapeutic goal have been realised, associated to the chemotherapy. Conclusion. - This is an expression of the profound organ's tuberculosis rich on endothelial reticular system. It's mean a singular topography of the bacillary lesion and a great distribution of the tubercular affect. (c) 2005 Elsevier SAS. Tous droits reserves.