Splenic abscess and perisplenic hematoma complicating Osler

Authors

  • Balram Rathish
  • Ganesh Ramesh
  • Ismail Siyad
  • Jeffey George
  • Nilesh Toke

Keywords:

Cerebrovascular accident (CVA), Hereditary hemorrhagic telangiectasia, Pulmonary arteriovenous malformation, Spleen, Stroke

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

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Published

2018-06-25

Issue

Section

Case Report

How to Cite

Splenic abscess and perisplenic hematoma complicating Osler. (2018). Indian Journal of Case Reports, 4(3), 194-196. https://mansapublishers.com/index.php/ijcr/article/view/900

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