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.