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Spontaneous splenic rupture, an unusual presentation of tuberculosis
Edson R Marcos-Ramírez1, Luis A Treviño-García1, Alejandra Téllez-Aguilera1
1Service of General Surgery, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Nuevo Leon, Mexico.
Introduction:
Spontaneous splenic rupture from tuberculosis (TB) is a very unusual presentation within the wide range of presentations of this infectious disease.
Clinical Case:
A 40-year-old male with a diagnosis of human immunodeficiency virus, begins with fever and pain in the left hypochondrium. A computed tomography scan was performed, showing probable splenic abscesses; suddenly, it begins with hemodynamic deterioration, exacerbation of pain, a surgical exploration was performed, showing spontaneous splenic rupture. Microscopic study of the spleen shows the presence of Mycobacterium tuberculosis.
Conclusions:
This is yet another presentation of TB, which can become a surgical emergency.
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