PMC2629468_01
Computed tomographic image of the loculated effusion and the thickened splenic flexure.
1752-1947-3-9-1.jpg
PMC2629468_01_1752-1947-3-9-1.jpg
F1
The CT showed a loculated pleural effusion consistent with an empyema plus thickening of the pleura and diaphragm as well as an abnormal thickened splenic flexure adjacent to the diaphragm (Figure 1).
Photograph of the diaphragmatic defect.
1752-1947-3-9-2.jpg
PMC2629468_01_1752-1947-3-9-2.jpg
F2
A small perforation of the diaphragm was also found and it was established that the abscess cavity was extending through the diaphragmatic defect (Figure 2).
Photographic evidence of the resected specimen with attached spleen.
1752-1947-3-9-3.jpg
PMC2629468_01_1752-1947-3-9-3.jpg
F3
The tumour, along with the adherent spleen was removed (Figure 3) and a transverse colostomy and distal mucus fistula were fashioned.