Spontaneous splenic rupture, an unusual presentation of tuberculosis

Cir Cir. 2021;89(S1):1-5. doi: 10.24875/CIRU.20000756.

Abstract
in English, Spanish

Introduction: Spontaneous splenic rupture from tuberculosis (TB) is a very unusual presentation within the wide range of presentations of this infectious disease.

Clinical case: A 40-year-old male with a diagnosis of human immunodeficiency virus, begins with fever and pain in the left hypochondrium. A computed tomography scan was performed, showing probable splenic abscesses; suddenly, it begins with hemodynamic deterioration, exacerbation of pain, a surgical exploration was performed, showing spontaneous splenic rupture. Microscopic study of the spleen shows the presence of Mycobacterium tuberculosis.

Conclusions: This is yet another presentation of TB, which can become a surgical emergency.

Introducción: La ruptura esplénica espontánea por tuberculosis es una presentación muy inusual dentro de la amplia gama de presentaciones de esta enfermedad infectocontagiosa.

Caso clínico: Masculino de 40 años con diagnóstico de VIH, inicia con fiebre y dolor en hipocondrio izquierdo. Se realiza TAC evidenciando probables abscesos esplénicos; súbitamente comienza con deterioro hemodinámico, agudización del dolor, se realiza exploración quirúrgica evidenciando ruptura esplénica espontánea. Al estudio microscópico del bazo se observa presencia de Mycobacterium Tuberculosis.

Conclusiones: Esta es una presentación más de la TB, la cual puede convertirse en una urgencia quirúrgica.

Keywords: Extrapulmonary; Rupture; Spleen; Spontaneous; Tuberculosis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Humans
  • Male
  • Rupture, Spontaneous
  • Splenic Diseases*
  • Splenic Rupture* / diagnostic imaging
  • Splenic Rupture* / etiology
  • Splenic Rupture* / surgery
  • Tuberculosis* / complications
  • Tuberculosis* / diagnosis