Splenic abscess complicating an infarction

Case contributed by Dr Hani Makky Al Salam

Presentation

Left hypochondrial pain and fever

Patient Data

Age: 20
Gender: Male

Relatively small medially displaced stomach bubble, but otherwise unremarkable

Hypoechoic to anechoic region towards the periphery of the spleen.

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. 

 

 

Pathology specimen

Case Discussion

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

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