1.A case of multiple splenic abscess.
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
Journal of the Japanese Association of Rural Medicine 1989;38(1):37-41
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.