title: Inflammatory pseudotumour of the spleen associated with splenic tuberculosis.
abstract: Inflammatory pseudotumor (IPT) of the spleen is an uncommon entity with an uncertain aetiology. Inflammatory pseudotumors present diagnostic difficulties because the clinical and radiological findings tend to suggest a malignancy. The symptoms include weight loss, fever, and abdominal pain. Most cases of splenic IPT present solitary relatively large well circumscribed masses on imaging. The diagnosis in the majority of the cases is made after histopathologic study of splenectomy specimens. The IPTs that occur in the spleen and liver are typically associated with Epstein-Barr virus. Thirty-seven percent of all new cases of active tuberculosis infection are extrapulmonary tuberculosis and tuberculous lymphadenitis the most commonly occurring form of extrapulmonary tuberculosis. We report the case of an inflammatory pseudotumor of the spleen associated with splenic tuberculous lymphadenitis in a 50-year-old female patient who was preoperatively diagnosed with a malignant spleen tumour based on her history of breast of carcinoma.
authors.affiliation: Maria Isabel Prieto-Nieto, Juan Pedro Pérez-Robledo, Beatriz Díaz-San Andrés, José Antonio Rodríguez-Montes, Department of General and Digestive Surgery, La Paz University Hospital, Paseo de la Castellana, 28046 Madrid, Spain.
authors.forename: Maria Isabel
authors.initials: MI
authors.lastname: Prieto-Nieto
authors.affiliation: Maria Isabel Prieto-Nieto, Juan Pedro Pérez-Robledo, Beatriz Díaz-San Andrés, José Antonio Rodríguez-Montes, Department of General and Digestive Surgery, La Paz University Hospital, Paseo de la Castellana, 28046 Madrid, Spain.
authors.forename: Juan Pedro
authors.initials: JP
authors.lastname: Pérez-Robledo
authors.affiliation: Maria Isabel Prieto-Nieto, Juan Pedro Pérez-Robledo, Beatriz Díaz-San Andrés, José Antonio Rodríguez-Montes, Department of General and Digestive Surgery, La Paz University Hospital, Paseo de la Castellana, 28046 Madrid, Spain.
authors.forename: Beatriz
authors.initials: B
authors.lastname: Díaz-San Andrés
authors.affiliation: Maria Isabel Prieto-Nieto, Juan Pedro Pérez-Robledo, Beatriz Díaz-San Andrés, José Antonio Rodríguez-Montes, Department of General and Digestive Surgery, La Paz University Hospital, Paseo de la Castellana, 28046 Madrid, Spain.
authors.forename: Manuel
authors.initials: M
authors.lastname: Nistal
authors.affiliation: Maria Isabel Prieto-Nieto, Juan Pedro Pérez-Robledo, Beatriz Díaz-San Andrés, José Antonio Rodríguez-Montes, Department of General and Digestive Surgery, La Paz University Hospital, Paseo de la Castellana, 28046 Madrid, Spain.
authors.forename: José Antonio
authors.initials: JA
authors.lastname: Rodríguez-Montes
keywords: Inflammatory pseudotumour; Spleen; Splenectomy; Splenic lymphadenitis; Splenic tuberculosis