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Tubercular splenic abscess.

M Hasan1, Jm Sarwar, Jh Bhuiyan

  • 1Department of Surgery, Mymensingh Medical College, Bangladesh.

Mymensingh Medical Journal : MMJ
|February 21, 2008
PubMed
Summary
This summary is machine-generated.

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A rare case of tubercular splenic abscess in a 40-year-old male presented with abdominal pain and fever. Diagnosis was confirmed via histopathology post-splenectomy, followed by successful anti-tubercular treatment.

Area of Science:

  • Infectious Diseases
  • Abdominal Surgery
  • Pathology

Background:

  • Splenic abscess is uncommon; tubercular splenic abscess is exceptionally rare.
  • This case highlights a diagnostic challenge in a middle-aged male presenting with abdominal pain and fever.

Observation:

  • A 40-year-old male presented with left upper quadrant pain, fever, and respiratory distress.
  • Imaging revealed a large splenic abscess with free fluid and pleural effusion.
  • Laparotomy showed extensive peritoneal pus and a ruptured splenic abscess.

Findings:

  • Pus culture was negative, but spleen histopathology confirmed tuberculosis.
  • Splenectomy and peritoneal lavage were performed.
  • Postoperative recovery was good with stitch site infections.

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Implications:

  • This case underscores the importance of considering tuberculosis in splenic abscesses, especially in endemic areas.
  • Histopathology is crucial for diagnosis when cultures are negative.
  • Effective antitubercular therapy is essential for managing tubercular splenic abscesses.