LAPAROSCOPIC SPLENIC BIOPSY – AN UNDERRATED DIAGNOSTIC MODALITY FOR EVALUATING PYREXIA OF UNKNOWN ORIGIN IN CHILDREN

Ankita Singh, Sandesh Guleria, Rakesh Kumar Pilania, Dharmagat Bhattarai, Nandita Kakkar, Prema Menon, Deepti Suri

Abstract


Introduction: Pyrexia of unknown origin may pose signicant diagnostic challenge. We herein report a case of PUO where diagnosis became
really difcult. Malignancy can be lurking behind in such cases.
Case description: We present a case 9-year-old boy with pyrexia of unknown origin of 1 year duration. Even after elaborative investigations his
diagnosis remained elusive. Eventually laparoscopic splenic biopsy was performed and revealed splenic Hodgkin lymphoma
Conclusion: Laparoscopic splenic biopsy can provide a middle path to reach diagnosis with minimum complications and should be considered
early in diagnostic ladder.


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