Presentation
Left hypochondrium pain and fever.
Patient Data
Age: 60 years
Gender: Male
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Moderate splenomegaly with multiple confluent non-enhancing hypodense areas in the splenic parenchyma, reaching up to the periphery. Mild surrounding perisplenic fat stranding/ inflammatory changes were seen. The splenic vein and splenic artery appear normal.
Case Discussion
The patient's WBC count was 24,910/microliter with a neutrophil of 95%.
The clinical history, imaging findings and lab parameters are suggestive of splenic infarction with superimposed infection.
The patient improved after supportive treatment & IV antibiotics and discharged in the stable condition.
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