SPLEEN ABSCESS, Dr LÝ VĂN PHÁI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

A 15yo female patient suffered from left upper quadrant pain and fever for 3 days. WBC=15,87×10^9/L, CRP=74,85mg/L, ESR =97mm and 127mm.

Ultrasound detected in spleen  2 focal hypoechoic necrotic at upper pole of 28x51mm  and close to splenic hilum, of 38x43mm without fluid in spleen region. There were no gas and no vascular signals into 2 spleen focal lesions.

 CT confirmed 2 focal lesions of her spleen with fluid density and no contrast media was caught.

ESR value decreased of 57 and 95mm, WBC=6,38×10^9/L , CRP= 4,13mg/L  and lesion sizes of 22-23mm with antibiotic therapy for 3 weeks. After 8 weeks both 2 abscesses completely disappeared.

So the spleen abscesses dissolved with a  conservative treatment.

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