(1) Department of General Surgery, RUHS College of Medical Sciences, Jaipur, India
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Isolated splenic abscess is a rare complication of enteric fever in developing countries. The condition often has a non-specific clinical presentation. Mostly the abscess is solitary rather than being multiple. Here we report a case of a child with enteric fever who presented with multiple splenic abscesses.
A 12-year male patient had presented with high grade fever and pain localized to left hypochondrium. Widal test was found to be positive. Ultrasound and CT abdomen revealed multiple abscesses in spleen. Following failure of medical management and percutaneous aspiration the patient was cured by splenectomy.
Splenic abscess is a rare complication of enteric fever. It may be managed with antibiotics with or without percutaneous aspiration as a first line of treatment but splenectomy should be considered in cases refractory to medical management.