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October 1976

Clinical and Roentgenographic Findings in Splenic Abscess

Author Affiliations

From the departments of radiology (Drs Miller and Rothermel) and surgery (Dr O'Neil) and the Division of Pediatric Surgery (Dr Shochat), Milton S. Hershey Medical Center, Pennsylvania State University College of Medicine, Hershey.

Arch Surg. 1976;111(10):1156-1159. doi:10.1001/archsurg.1976.01360280114018

• A splenic abscess developed in a 16-year-old boy following a supposed viral illness and left lower thoracic trauma. Preoperative diagnosis was at first obscured, but a spleen scan suggested fractured spleen and a splenic arteriogram showed a "subcapsular hematoma" and an aneurysm of the left hepatic artery. A 1,800-gm spleen containing one large abscess and one small one was removed. Splenic abscess is rare and, before modern methods of spleen scan and arteriography, rarely diagnosed.

(Arch Surg 111:1156-1159, 1976)