Spleen: Splenic Abscess

Splenic Abscess

Basics

  • Most Commonly from Hematogenous Spread
  • High Mortality Risk (About 47%)

Presentation

  • Fever
  • Pain
  • Nausea & Vomiting
  • Splenomegaly

Treatment

  • Single Unilocular: ABX & Percutaneous Drain
  • Multilocular or Multiple: Splenectomy

Splenic Abscess 1

Splenic Abscess on CT 2

References

  1. Saber A. Multiple splenic abscesses in a rather healthy woman: a case report. Cases J. 2009 Jul 23;2:7340. (License: CC BY-3.0)
  2. Brooks J, Ghaffari G. Aseptic splenic abscess as precursory extraintestinal manifestation of inflammatory bowel disease. Case Rep Med. 2014;2014:684231. (License: CC BY-3.0)