Splenic Abscess And Perisplenic Hematoma Complicating Osler
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Date
2018-05
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Atharva Scientific Publications
Abstract
A 52-year-old diabetic gentleman was referred to our center with a 3-week history of fever, left-sided abdominal pain, and progressive breathlessness. He also had history of recurrent epistaxis since childhood. Contrast-enhanced computerized tomography chest and abdomen revealed a splenic abscess, left pulmonary arteriovenous malformation, and left pleural effusion. He was managed conservatively with intravenous antibiotics and an antifungal. A repeat imaging was done after 3 weeks which showed resolution of abscess but an increase in the size of the perisplenic hematoma. An ultrasound guided pigtail catheter was inserted into the peri-splenic hematoma and it was drained. He had also developed an acute cerebellar infarct detected on magnetic resonance imaging of brain, which also showed other chronic infarcts of varying age. A diagnostic nasal endoscopy revealed multiple telangiectasias, and Osler–Weber–Rendu disease (hereditary hemorrhagic telangiectasia [HHT]) was diagnosed according to Curacao criteria. Symptomatic splenic involvement may be a rare manifestation of HHT
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Citation
Rathish Balram, Ganesh Ramesh, Ismail Siyad, Jeffey George, Toke Nilesh. Splenic Abscess And Perisplenic Hematoma Complicating Osler. Indian Journal of Case Reports. 2018 May; 4(3): 194-196