For citation purposes: Kalyanwat A, Jain S. Enteric fever presenting as splenic abscess: A rare presentation of enteric fever. OA Case Reports 2014 Sep 22;3(7):68.

Case report

 
Surgery

Enteric fever presenting as splenic abscess: A rare presentation of enteric fever.

A Kalyanwat, S Jain
 

Authors affiliations

(1) Department of General Surgery, RUHS College of Medical Sciences, Jaipur, India

* Corresponding author Email: sanchit4088@gmail.com

Abstract

Introduction

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.

Case report

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.

Conclusion

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.

Licensee OA Publishing London 2014. Creative Commons Attribution License (CC-BY)
Keywords