Multiple splenic abscesses

Case contributed by Dr Kewal Arunkumar Mistry

Presentation

Fever since 15 days, abdominal pain and vomiting for 3 days.

Patient Data

Age: 45 years
Gender: Female
Modality: Ultrasound

Multiple splenic abscesses with pleural effusion and free fluid in peritoneum with incidentally detected mild fatty infiltration of liver, cholelithiasis and vesical calculus.

Modality: CT

Hepatosplenomegaly, multiple hypodense splenic lesions, bilateral pleural effusion and mild free fluid in peritoneal cavity.

Note cholelithiasis with contracted gall bladder, mild fatty infiltration of liver and small vesical calculi.

Case Discussion

Patient presented with fever and blood investigations revealed leucocytosis,There was no history of trauma or pancreatitis . The lesions were rounded with few internal septae. 

On imaging the possibility of splenic abscesses was kept. Ascites and pleural effusions also supported inflammatory pathology. Primary splenic hydatid disease was kept as a differential however there were no calcifications or detached membranes on imaging. Hydatid serology was negative. 

On ultrasound guided aspiration purulent material was aspirated confirming the diagnosis of splenic abscesses. 

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Case Information

rID: 34934
Case created: 15th Mar 2015
Last edited: 14th Dec 2015
Inclusion in quiz mode: Included

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