Adhikari Ganga D¹*, Sharma Nitu¹, Guragain Sima¹, Chaudhary Amardeep², Yadav Ajay Kumar² and Paudel Sangeeta³

¹Department of Radio-Diagnosis, Imaging and Nuclear Medicine, BP Koirala Memorial Cancer Hospital, Bharatpur, Chitwan, Nepal
²Nuclear Medicine and Molecular Imaging Centre, Birat Medical College Teaching Hospital, Tankisinuwari, Budiganga-2, Morang, Nepal
³Department of Dermatology, Chitwan Medical College, Bharatpur, Nepal

*Corresponding Author: Adhikari Ganga D; Department of Radio-Diagnosis, Imaging and Nuclear Medicine, BP Koirala Memorial Cancer Hospital, Bharatpur, Chitwan, Nepal.

Received: August 21, 2025; Published: October 10, 2025

Abstract

Splenic tuberculosis is rare, especially in immunocompetent patients. Often it is difficult to diagnose if presented without any symptoms. We report a case of a 63-year-old immunocompetent male complaining of subtle vague left flank pain without fever, cough, or weight loss. Ultrasonography (USG) and Computed Tomography (CT) of the abdomen revealed clustered hypoechoic lesions in the spleen. Following the diagnosis of splenic tuberculosis through gene expert and Mantoux tests, anti-tuberculous treatment was started which showed improvement after the 6-month regimen. Radiological findings are essential for diagnosis and should be correlated with clinical presentation.

Keyword: Extrapulmonary Tuberculosis (EPTB); Splenic Tuberculosis (STB); Anti-tuberculous Treatment (ATT); Mantoux Tests; Computed Tomography (CT); Fine Needle Aspiration (FNA)

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Citation

Citation: Adhikari Ganga D.,et al. “Nearly Clinically Silent Splenic Tuberculosis: A Rare Case Report".Acta Scientific Cancer Biology 9.4 (2025): 24-26.

Copyright

Copyright: © 2025 Adhikari Ganga D., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.