Presentation
Two weeks history of left upper quadrant pain with fever, hyperleukocytosis and elevated inflammatory markers in a diabetic patient.
Patient Data
Age: 55 years
Gender: Female
From the case:
Splenic abscess
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Large lobulated hypodense splenic collection with irregular faint peripheral enhancement, extending to the gastrosplenic ligament with surrounding fat stranding and mass effect on the greater curvature, which appears moderately thickened (reactive thickening).
Enlarged lymph nodes mainly in the gastrohepatic ligament, periportal and celiac regions.
Case Discussion
CT features of a splenic abscess in an immunocompromised patient (diabetes mellitus).
Ultrasound-guided drainage was performed. The culture of the pus drained from the abscess was positive for Salmonella typhi.