Abstract

Splenic abscess is a very rare entity with an incidence of about 0.14-0.7% in autopsy studies. Splenic abscess has been reported to have a mortality rate of about47%, it has various causes but usually associated with trauma and infections of the spleen. We report two cases of splenic abscess; a child with post traumatic cause and a middle aged lady with an unknown cause. Both cases were diagnosed of having the abscess following imaging; the first case had abdominopelvic ultrasound that showed an abscess cavity with a volume of about 11mls and subsequently resolved following medical treatment with intravenous antimicrobial agents. The second case however had an abdominopelvic computed tomography scan that showed a huge splenic abscess with a volume of about 1400mls; she had a successful splenectomy. We report the radiologic findings of these cases due to the rare nature of splenic abscess as reported in the literature.

Highlights

  • Splenic abscess is a very rare entity with an incidence of about 0.14-0.7% in autopsy studies [1-4]

  • We report two cases of splenic abscess; a child with post traumatic cause and a middle aged lady with an unknown cause

  • Both cases were diagnosed of having the abscess following imaging; the first case had abdominopelvic ultrasound that showed an abscess cavity with a volume of about 11mls and subsequently resolved following medical treatment with intravenous antimicrobial agents

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Summary

Introduction

Splenic abscess is a very rare entity with an incidence of about 0.14-0.7% in autopsy studies [1-4]. The incidence of splenic abscess shows an apparent increase most likely from advances in imaging studies and an increased number of immunocompromised, trauma and cancer patients [5, 7, 8]. Case 1 This is a ten-month-old infant who was referred for Abdominopelvic ultrasound following a history of fall, left hypochondrial pain, chills and rigor with easy irritability. His genotye is AA type and has no retroviral infection. The cardiovascular and respiratory systems evaluation were all within normal limits He had much tenderness to sonographic probe pressure over the left hypochondrium. He was discharged from the hospital twenty-two days later

Gastroenterology Pancreatology and Hepatobilary Disorders
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