DOI: 10.36347/sjmcr.2021.v09i03.009

Pages: 231-233

Splenic tubercular abscess is a rare pathologic conditionand mainly affects immunocompromised individuals. Open surgery and antituberculous drugs was the treatment of choice. Mini invasive procedures such us percutaneous catheter drainage is currently an effective and safe alternative to splenectomy. We present a case of a 24-year-old man with recently diagnosis of Hodgkin’s lymphoma with good socioeconomic background, who endured fever and left upper abdominal pain; however, computed tomography scan for extension of Hodgkin’s lymphoma revealed a large splenic collection with thick rim interpreted as abscess. Percutaneous drainage of the abscess was performed by interventional radiology. Diagnosis of mycobacterium tuberculosis was confirmed by rapid molecular detection using automated GeneXpert MTB. Our case highlights the following: (a) The importance of minimal invasive procedure in health care system, that reduces length hospitalization, surgical complication and increase cost-effectiveness; (b) The safety of percutaneous drainage even in spleen which may scare radiologist.