Open AccessSplenic mass of uncertain etiology in a 15‐year‐old male patient: a case report
Author(s) -
Hisamura Masaki,
Mitsui Daichi,
Kawaguchi Yumi,
Oshio Sadayuki,
Asano Yoshitaka,
Kameda Shinya,
Nakamura Motohiro,
Chida Sachiko,
Suzuki Mio,
Koshimizu Kenji
Publication year - 2019
Publication title -
acute medicine and surgery
Language(s) - English
Resource type - Journals
ISSN - 2052-8817
DOI - 10.1002/ams2.464
Subject(s) - medicine , abdominal pain , etiology , abscess , abdominal ultrasonography , magnetic resonance imaging , white blood cell , surgery , spleen , radiology , computed tomography
Background There are few reports on spleen masses, and solitary splenic abscesses with abdominal pain have not been reported in younger age groups. We report a case of a splenic mass of uncertain etiology in a 15‐year‐old boy. Case Presentation A 15‐year‐old boy visited the emergency department with abdominal pain. Abdominal ultrasonography revealed a thin‐walled multilobular splenic cyst. Computed tomography revealed a cystic shadow and a septate structure in the spleen. Magnetic resonance imaging examination revealed a high‐signal region on the T2‐weighted image. The neutrophil ratio in the white blood cell count of 8,330/µL was high (80%), and splenic abscess could not be ruled out. Thus, therapy with 2 g/day fosfomycin was initiated. Abdominal pain disappeared on day 3 of hospital stay, and the patient was discharged on day 8. Conclusion Antibiotic therapy can be effective against very acute onset splenic abscesses, although surgical treatment is usually carried out.