An unusual presentation of tuberculous splenic abscess

A 55-year-old male presented with painful lobulated mass on the left lateral lower chest and upper abdomen. Evaluation revealed the mass as a subcutaneous abscess originating from and communicating with a splenic abscess. The patient was treated by incision and drainage of the subcutaneous abscess along with splenectomy, and antituberculous therapy. Histopathological examination of the spleen confirmed the diagnosis of splenic tuberculosis. Postoperatively, the patient improved, and was discharged ten days later on antituberculous drugs. One year later, the patient remains asymptomatic and shows progressive improvement.