Splenic mass of uncertain etiology in a 15-year-old male patient : a case report
© 2019 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine..
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: 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: Antibiotic therapy can be effective against very acute onset splenic abscesses, although surgical treatment is usually carried out.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:7 |
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| Enthalten in: |
Acute medicine & surgery - 7(2020), 1 vom: 28. Jan., Seite e464 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Hisamura, Masaki [VerfasserIn] |
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| Links: |
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| Themen: |
Abdominal pain |
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| Anmerkungen: |
Date Revised 12.04.2022 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE |
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| doi: |
10.1002/ams2.464 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM305849573 |
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| 500 | |a Date Revised 12.04.2022 | ||
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| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a © 2019 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine. | ||
| 520 | |a 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 | ||
| 520 | |a CASE PRESENTATION: 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 | ||
| 520 | |a CONCLUSION: Antibiotic therapy can be effective against very acute onset splenic abscesses, although surgical treatment is usually carried out | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a Abdominal pain | |
| 650 | 4 | |a fasting therapy | |
| 650 | 4 | |a fosfomycin | |
| 650 | 4 | |a intraabdominal infection | |
| 650 | 4 | |a lymphangioma | |
| 650 | 4 | |a splenic abscess | |
| 650 | 4 | |a splenic disease | |
| 650 | 4 | |a splenic mass | |
| 700 | 1 | |a Mitsui, Daichi |e verfasserin |4 aut | |
| 700 | 1 | |a Kawaguchi, Yumi |e verfasserin |4 aut | |
| 700 | 1 | |a Oshio, Sadayuki |e verfasserin |4 aut | |
| 700 | 1 | |a Asano, Yoshitaka |e verfasserin |4 aut | |
| 700 | 1 | |a Kameda, Shinya |e verfasserin |4 aut | |
| 700 | 1 | |a Nakamura, Motohiro |e verfasserin |4 aut | |
| 700 | 1 | |a Chida, Sachiko |e verfasserin |4 aut | |
| 700 | 1 | |a Suzuki, Mio |e verfasserin |4 aut | |
| 700 | 1 | |a Koshimizu, Kenji |e verfasserin |4 aut | |
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