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Case Reports in Gastrointestinal Medicine
Volume 2017, Article ID 9864543, 3 pages
Case Report

Isolated Splenic Cold Abscesses with Perisplenic Extension: Treated Successfully without Splenectomy

1ADK Hospital, Malé, Maldives
2Institute of Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal

Correspondence should be addressed to Mohan Khadka; moc.liamg@026nahomahk

Received 13 May 2017; Revised 2 July 2017; Accepted 24 July 2017; Published 20 August 2017

Academic Editor: Yoshifumi Nakayama

Copyright © 2017 Mohan Khadka and Ravi Pradhan. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Splenic tuberculosis (TB) in the form of multiple splenic cold abscesses with perisplenic extensions is a rare disease, especially in an immunocompetent host. It demonstrates diagnostic complexity, which makes identification of the disease difficult. We report a case of an immunocompetent adult male who presented with fever, pain in the left lower chest, decreased appetite, and significant weight loss. On physical examination, he had tenderness in the left lower infra-axillary region and Traube’s space dullness without palpable spleen. Ultrasound-guided aspiration of the abscess fluid revealed Mycobacterium tuberculosis (MTB) by polymerase chain reaction (PCR). No primary focus of the infection was detected in the lungs or any other organs. The patient was successfully treated with antitubercular therapy (ATT).