PMC10027457_01
(a) US image of the intrasplenic cystic process with thick wall that proved to be an abscess. (b) Image of the initial CT scan prior to the 1st puncture illustrating splenomegaly and the site of the abscess next to the abdominal wall.
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fig1
US revealed splenomegaly (17 cm) and a hypoechoic cystic process, suspected to be an abscess (Figure 1(a)). A low-dose CT scan with intravenous and oral contrast (Visipaque) confirmed a 32 x 45 x 40 mm thick-walled, unilocular abscess anteriorly in the spleen, with an adjacent inflammatory reaction in the abdominal wall (Figure 1(b)), and a small amount of ascites.