Spleen Lobulated Syphilitic

Lobulated spleen (syphilitic) is a disease that is caused by syphilis bacteria and is characterized by damage to the spleen. It has a lobular structure, which makes it visible on x-rays or ultrasound. With this disease, the spleen can increase in size and cause pain in the left hypochondrium.

Syphilis infection occurs through blood or other body fluids. Symptoms of the disease may include skin rash, headaches, weight loss, fever and joint pain. Diagnosis of the disease is carried out after blood and urine tests, as well as an MRI or ultrasound examination of the abdominal cavity.

Treatment of spleen (focal purulent syphilitis) of the spleen depends on the stage and severity of the disease. Doctors may prescribe antibiotics, anti-inflammatory drugs, and medications that improve blood clotting. Surgery may also be required to remove tumors and infections in the lymph nodes.

Syphilis is a serious disease that can lead to serious

The lobulated syphilitic spleen (p. gummosa syphilitica) accompanies the course of syphilis, especially with its secondary relapse. First, the infection destroys the subcapsular epithelium, which forms syphilidic lymphatic follicles. Then it spreads even deeper into the interlobular interstitium and perivascular tissue, affecting connective tissue and blood vessels. As a result, there is a noticeable expansion of individual lobes and a displacement of the mediastinal organs to the side. As visifulides are absorbed, connective tissue grows, connecting the parenchyma of the lobes into thick cords, but they are not replaced by the same scar tissue. To distinguish a lobulated syphilitic spleen from a cirrhotic one, one must keep in mind that in the latter the scar tissue is evenly distributed; in addition, the lobed shape tends to become compacted. The opposite picture is also observed: the condition of the spleen is close to one or the other of those mentioned above, and if we also take into account the uneven development of degenerative processes, the clinical picture turns out to be extremely varied. In the internal parts of the lobe, it is more often affected. A hyperechoic zone appears on the abdominal surface due to the destruction of the stroma; in places where lymphoid follicles accumulate, small oval retractions of different shades (from white to brown) are found. The consistency of the altered parenchyma is soft or dense, the echogenicity is increased. Sometimes the contents are lysed and determined only by ultrasound signs. The affected tissue does not participate in blood circulation. When examining the corpora pulposus or small arteries, intraluminal or intramural thrombi may be detected. Less commonly, the contents become anechoic, resembling cysts (purulent nodular syphilides, hematoceles, splenic pseudocysts) - an accumulation of fluid with a thick gelatinous sediment is visible. If there is a breakthrough of the intima into the organ cavity, freely colored fluid appears, and in case of perihepatocellular damage, bile components and