Pulmonary tuberculosis though common in indian subcontinent, but tubercular splenic abscess is an unusual presentation. We report a 41 year old female who presented with symptoms of fever, abdominal pain, loss of appetite and weight loss for 2 months. Her examination revealed splenomegaly besides other non specific findings. Splenic tuberculosis is a differential to be considered, particularly where the disease is endemic. Labs revealed positive mantoux test. CECT abdomen showed multiple hypo-dense lesions in both liver and spleen hinting towards abscesses. Histopathological examination of CT guided biopsy specimen showed features consistent with and confirmed a diagnosis of splenic tuberculosis.

Keywords: Splenic Abscess; Tuberculosis.