PMC5585634_01
Ultrasound of the abdomen showing multiple hypoechoic splenic and perisplenic collections.
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Ultrasound of the abdomen (Figure 1) revealed a 5.3 x 4.0 x 3.5 cm hypoechoic lesion at the lower pole of the spleen that was in communication with a similar lesion of an approximately 40 ml collection at the perisplenic area.
Contrast-enhanced computed tomography of the abdomen showing multiple hypodense lesions in and around the spleen.
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Contrast-enhanced computed tomography of the abdomen (Figure 2) showed two perisplenic hypodense collections of 6.9 x 5.1 x 3.2 cm at the inferior pole and 5.2 x 4.0 x 3.0 cm at the superior pole of the spleen having connections with similar splenic parenchymal collections, suggestive of multiple splenic abscesses with perisplenic extensions.
After six months of ATT, ultrasound showed a normal spleen.
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Upon completion of six months of ATT, the patient was clinically asymptomatic and had normal ESR, and ultrasound of the abdomen (Figure 3) showed normal spleen.