Abstract

Tuberculosis is a significant health problem in developing countries. Splenic tuberculosis usually occurs as a part of miliary tuberculosis but isolated splenic tuberculosis is very rare. We are reporting the case of a 63 years old immunocompetent female who presented to us with complains of dull aching pain in left hypochondrium and left flank for three months and fever for two months. Laboratory data provided no diagnostic information. Abdominal ultrasonography revealed massive splenomegaly. As spleen was massively enlarged and there was risk of rupture, splenectomy was carried out. From histopathological examination final diagnosis of splenic tuberculosis was made.

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