Splenic mass of uncertain etiology in a 15-year-old male patient: a case report.
Abdominal pain
fasting therapy
fosfomycin
intraabdominal infection
lymphangioma
splenic abscess
splenic disease
splenic mass
Journal
Acute medicine & surgery
ISSN: 2052-8817
Titre abrégé: Acute Med Surg
Pays: United States
ID NLM: 101635464
Informations de publication
Date de publication:
Historique:
received:
11
05
2019
accepted:
26
09
2019
entrez:
29
1
2020
pubmed:
29
1
2020
medline:
29
1
2020
Statut:
epublish
Résumé
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. 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. Antibiotic therapy can be effective against very acute onset splenic abscesses, although surgical treatment is usually carried out.
Sections du résumé
BACKGROUND
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
METHODS
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
CONCLUSIONS
Antibiotic therapy can be effective against very acute onset splenic abscesses, although surgical treatment is usually carried out.
Identifiants
pubmed: 31988776
doi: 10.1002/ams2.464
pii: AMS2464
pmc: PMC6971432
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e464Informations de copyright
© 2019 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine.
Déclaration de conflit d'intérêts
Approval of the research protocol: N/A. Informed consent: Written informed consent for study participation and to report individual patient data was obtained from the patient. Conflict of interest: None. Registry and registration no. of the study/trial: N/A. Animal studies: N/A.
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