A case of multiple splenic abscess.
10.2185/jjrm.38.37
- VernacularTitle:多発性ひ膿ようの1例
- Author:
Masaharu SUMII
;
Fumiaki HINO
;
Makoto OHBAYASHI
;
Hiroshi AMIOKA
;
Hirohide YOSHIKAWA
;
Minoru KAWAGUCHI
;
Toshio MIURA
;
Satoko MASAOKA
;
Kunitoshi MUKOUDA
;
Yasunori MATSUI
;
Seiya KOSAKAI
;
Yoshiteru OGAWA
;
Yoshinori KURODA
- Publication Type:Journal Article
- From:Journal of the Japanese Association of Rural Medicine
1989;38(1):37-41
- CountryJapan
- Language:Japanese
-
Abstract:
The patient, a 71-year-old man, was admitted to our department with fever from unknown causes. Ultrasonic examination of the abdominal regions revealed abnormal multiple low-density echo legions (that could be) associated with splenomegaly. For diagnostic purposes, splenic puncture was performed with the aid of an ultra-sound imaging device. Pale yellow-green pus was obtained from the lesions. Based on this finding, we made a diagnosis on the case as multiple abscess of the splean. The patient underwent intensive chemotherapy. However, he dontinued to have a high fever. On the ninth day from hospitalization, splenectomy was performed. Since then, his fever has subsided. Abscess of the spleen is a rare disease. It is generally classified into two types: one is a multiple type, and the other, a solitary type. Multiple splenic abscess mostly occurs as one of the abnormal conditions during the course of a primary disease, which is often severe. Our case, however, did not exhibit any sign of a primary disease.