Suspected Case of Secondary Splenic Tuberculosis Difficult to Differentiate from Pyogenic Splenic Abscess

Splenic tuberculosis is known to occur due hematogenous spread from the affected lungs. Ultrasonography shows non-specific features, including hepatosplenomegaly or abscess. Possible small hypoechoic nodules larger mass-like areas are also observed. Sometimes it challenging differentiate splenic a pyogenic An 85-year-old man visited our clinic with abdominal discomfort and fatigue. He had history of antituberculous medication. Upper ultrasonography showed an about 5 cm-sized abscess-like lesion in spleen. His symptoms laboratory findings were not improved after course empirical antibiotic treatment. was suspected having secondary continued taking We following up on his radiologic images.