A 57 years female presented with complaints of pain in the left hypochondrium and fever for 4 weeks. A single firm preoperative diagnosis could not be made in this lady. At exploration, spleen was enlarged with a lobulated mass at the hilum. Splenectomy was done and patient made an uneventful recovery. The histopathological report of resected specimen of spleen was inflammatory pseudotumour of spleen. The clinical, radiological and pathological features of previously reported cases are reviewed in this case report.
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