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. 2013 Jun;75(3):235-6.
doi: 10.1007/s12262-012-0511-y. Epub 2013 Feb 15.

Isolated tuberculosis of the spleen: A case report and review of literature

Affiliations

Isolated tuberculosis of the spleen: A case report and review of literature

H Mishra et al. Indian J Surg. 2013 Jun.

Abstract

Isolated involvement of spleen in tuberculosis is a rare entity, particularly among immunocompetent hosts. Herein, we present a 28-year-old man with left abdominal discomfort for 2 years who was found to have a cystic lesion in spleen on evaluation. Eventually, he was diagnosed to have isolated splenic tuberculosis with an involvement of a single lymph node at the splenic hilum. In this rare form of tuberculosis, it seems that splenectomy in addition to standard antitubercular therapy is curative.

Keywords: Isolated spleenic tuberculosis.

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Figures

Fig. 1
Fig. 1
(a) CECT scan showing a nonenhancing hypodense lesion in the enlarged spleen with a few calcific foci within it and (b) a smaller hypodense lesion at the splenic hilum in the tail of pancreas
Fig. 2
Fig. 2
(a) A large cystic lesion on the lower pole of spleen along with multiple whitish surrounding lesions and a cystic swelling at splenic hilum and (b) a cut section showing caseating necrotic material

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