Pediatric Splenic Abscess: A Tertiary Care Centre Study

Splenic abscess is rare in children. Multiple splenic abscesses are much rarer in children. It is a fatal condition. Splenic abscess is more common in adults. Splenic abscess results from contiguous focus of infection, splenic infarction, diabetes, trauma & associated parasitic infection of spleen. It is having a high mortality rate reaching around 50% which is much reduced due to modern diagnosis with CT, USG & prompt treatment. CT, USG & sometimes MRI not only promptly diagnose but also help in guided Percutaneous aspiration. Our case a 9-year-old boy who presented with pain in left upper quadrant and epigastrium and fever, was diagnosed promptly by CT abdomen on 2nd day of admission to hospital. Ultrasonography of abdomen is also informative. Our case was having enteric fever with widal 1:160. Small wedge-shaped infraction of Right kidney also detected by CT.