A CASE OF SPLENIC ABSCESS WITH PENETRATION TO THE STOMACH

Abstract

We report on a case of a splenic abscess that penetrated to the stomach. A 43-year-old man was admitted to our hospital. He was suffering from fever, left flank pain, left hypochondric pain and left back pain. He was diagnosed as having a splenic abscess based on ultrasonography and computed tomography scans. Subsequently, penetration of the splenic abscess to the stomach was observed with upper gastrointestinal endoscopy. The patient was treated with antibiotics, and endoscopic drainage was performed with the endoscopic nasobiliary drainage (ENBD) technique. After the treatment, the drainage tube was removed, and the patient was discharged. Endoscopic drainage enabled the culture of the drainage fluid, and this was a safe and effective treatment. The splenic abscess is a relatively rare entity. This is the first case in the literature in Japan where an endoscopic examination revealed a splenic abscess with penetration to the stomach.