Successful CT Guided Needle Aspiration of Splenic Abscess: A Case Report.

ABSTRACT

Splenic abcess is a rare clinical entity with an incidence of 0.2 to 0.7 % in autopsy based studies. Untreated, a splenic abscess is associated with nearly 100% mortality. An 44 year old male was admitted with fever and fatigue for three weeks and abdominal pain for two weeks was found to have large splenic abscesses on imaging studies. Extensive workup revealed no evidence of hematogenous spread from an endovascular source, no septic emboli in other organs and no proof of local spread from an infectious origin within the abdomen.Our case introduces an unusal presentation of splenic abscess without well described pathophysiologic mechanism to support their etiology.