Splenic infarction with superimposed infection

Case contributed by Keshaw Kumar
Diagnosis almost certain

Presentation

Left hypochondrium pain and fever.

Patient Data

Age: 60 years
Gender: Male

CECT abdomen and pelvis

ct
This study is a stack
Axial
non-contrast
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Coronal C+ portal
venous phase
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Info

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/microlitre 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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