A rare presentation of splenic tuberculosis with a pseudocyst.
Splenic tuberculosis is an unusual manifestation of extrapulmonary tuberculosis, especially in immunocompetent hosts. It often poses diagnostic difficulties as microbiological confirmation is not easy. In this case report, we describe a case of pseudocyst of the spleen due to tuberculosis, which is a rare clinical presentation with only one case having been reported previously. A 24-year-old immunocompetent woman presented with pain in the abdomen, vomiting and fever. On evaluation the patient was found to have a cyst arising from the spleen. Splenectomy was performed. Pathological examination of the specimen revealed a pseudocyst with granulomas and giant cells consistent with tuberculosis. Cyst fluid analysis revealed lymphocyte predominance with high adenosine deaminase levels. The patient was started on 6 months of antituberculous therapy postoperatively. On follow-up, the patient was found to have gained weight and showed signs of well-being.
Department of General Surgery, Kasturba Medical College, Manipal, Karnataka, India.
Kalyan
K
Chakradhar
Department of General Surgery, Kasturba Medical College, Manipal, Karnataka, India.
Shiva
S
Prasad
Department of General Surgery, Kasturba Medical College, Manipal, Karnataka, India.
Sampath
S
Kumar
Department of Pathology, Kasturba Medical College, Manipal, Karnataka, India.
Manna
M
Valiathan
D003560:Cysts / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007121:Immunocompetence; D013156:Splenectomy; D013158:Splenic Diseases / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014400:Tuberculosis, Splenic / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D055815:Young Adult