Asymptomatic Splenic Cysts in an Immunocompromised Patient: Should They Be Investigated.
10.4166/kjg.2018.72.4.209
- Author:
Hyunjung HWANG
1
;
Myong Ki BAEG
;
Pumsoo KIM
;
Yu Jin KIM
;
Seok Hyung KANG
Author Information
1. Division of Gastroenterology, Department of Internal Medicine, Catholic Kwandong University, International St. Mary's Hospital, College of Medicine, Catholic Kwandong University, Incheon, Korea. baegmk@gmail.com
- Publication Type:Case Report
- Keywords:
Splenic cyst;
Splenic abscess;
Arthritis, rheumatoid;
Percutaneous drainage
- MeSH:
Abscess;
Arthritis, Rheumatoid;
Diagnosis, Differential;
Escherichia coli;
Follow-Up Studies;
Humans;
Immunocompromised Host*;
Middle Aged;
Rare Diseases
- From:The Korean Journal of Gastroenterology
2018;72(4):209-212
- CountryRepublic of Korea
- Language:English
-
Abstract:
Splenic abscess is a rare disease that generally occurs in immunocompromised patients. It is difficult to distinguish between splenic abscesses and cysts using imaging studies, especially if they are asymptomatic. A 50-year-old asymptomatic man who had received steroid therapy for underlying rheumatoid arthritis was referred to a university hospital due to presence of several splenic cysts, with the largest being 3.5 cm in diameter. Percutaneous aspiration was performed, and fluid analysis showed cysts infected by extended-spectrum, beta-lactamase-producing Escherichia coli. The patient was treated with ertapenem for four weeks, and the lesion disappeared on follow-up imaging studies. Splenic abscess should be included as a differential diagnosis of splenic cystic lesions in immunocompromised patients.
