Multiple splenic abscesses in a rather healthy woman: a case reportReport as inadecuate

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Cases Journal

, 2:7340

First Online: 23 July 2009Received: 18 April 2009Accepted: 19 June 2009DOI: 10.4076-1757-1626-2-7340

Cite this article as: Saber, A. Cases Journal 2009 2: 7340. doi:10.4076-1757-1626-2-7340


IntroductionAbscess of the spleen is a rather clinical rarity with reported mortality rate up to 47%. The timely and widespread use of imaging methods facilitates early diagnosis and guides treatment, thus improving the prognosis. Most of patients were with recognized risk factors including conditions that compromise the immune system, trauma and intravenous drug abuse in addicts. The surgical treatment by splenectomy is usually the first choice of treatment.

Case presentationA healthy 45-year-old woman presented to the outpatient clinic with fever, 39°C together with persistent upper-left-quadrant abdominal pain. Her past medical history was free from any chronic debilitating diseases or other predisposing factors. Imaging included chest and abdominal X-ray, followed by a CT scan of the upper abdomen.

ConclusionsSplenic abscess is an unusual and potentially life-threatening disease with a diagnostic challenge due to the nonspecific clinical picture and diagnosis confirmed based mostly on imaging studies. Multiple splenic abscesses are very rarely encountered in surgical practice with a reported high mortality rate in neglected and untreated cases. Splenectomy is a safe procedure for patients with splenic abscess.

AbbreviationCTComputing tomography.

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Author: Aly Saber


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