Splenic abscess complicating an infarction

Case contributed by Dr Hanisalam

Presentation

Left hypochondrial pain and fever

Patient Data

Age: 20
Gender: Male
Modality: X-ray

Relatively small medially displaced stomach bubble, but otherwise unremarkable

Modality: Ultrasound

Hypoechoic to anechoic region towards the periphery of the spleen.

Modality: CT

Extensive areas of confluent non-enhancing hypodensity (mainly fluid density) in the spleen, mostly reaching the periphery of the organ, with no gas locules seen in them. The spleen is moderately enlarged and surrounded by inflammatory stranding, with several prominent lymph nodes near the splenic hilum, thought to be reactive.

The splenic vein appears patent (although it's faintly doing so, but thought it is due to the phase of the study as the portal vein is faintly enhancing too). 

Abdominal solid viscera appear unremarkable. 

 

 

Modality: Pathology

Pathology specimen

Case Discussion

A known case of sickle cell disease presented with splenic infarction complicated by abscess formation.

PlayAdd to Share

Case Information

rID: 19149
Case created: 10th Aug 2012
Last edited: 12th Dec 2015
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.