Splenic Abscess And Perisplenic Hematoma Complicating Osler

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dc.contributor.authorRathish, Balramen_US
dc.contributor.authorGanesh, Rameshen_US
dc.contributor.authorIsmail, Siyaden_US
dc.contributor.authorJeffey, Georgeen_US
dc.contributor.authorToke, Nileshen_US
dc.date.accessioned2020-01-02T06:29:00Z
dc.date.available2020-01-02T06:29:00Z
dc.date.issued2018-05
dc.description.abstractA 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 HHTen_US
dc.identifier.affiliationsPG-Registrar CMT, Department of Internal Medicine, Department of Medical Gastroenterology, Aster Medcity, Kochi, Indiaen_US
dc.identifier.affiliationsLead Consultant, Department of Medical Gastroenterology, Aster Medcity, Kochi, Indiaen_US
dc.identifier.affiliationsSenior Consultant, Department of Medical Gastroenterology, Aster Medcity, Kochi, Indiaen_US
dc.identifier.affiliationsConsultant, Department of Medical Gastroenterology, Aster Medcity, Kochi, Indiaen_US
dc.identifier.affiliationsSenior Speacialist, Department of Medical Gastroenterology, Aster Medcity, Kochi, Indiaen_US
dc.identifier.citationRathish 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): 194-196en_US
dc.identifier.issn2454-129X
dc.identifier.issn2454-1303
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/190553
dc.languageenen_US
dc.publisherAtharva Scientific Publicationsen_US
dc.relation.issuenumber3en_US
dc.relation.volume4en_US
dc.source.urihttps://atharvapub.net/IJCR/article/view/898en_US
dc.titleSplenic Abscess And Perisplenic Hematoma Complicating Osleren_US
dc.typeJournal Articleen_US
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