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Percutaneous CT-Guided Drainage of Splenic Abscess

¹ All authors: Second Department of Radiology, Athens University Medical School, Papadiamantopoulou 20, 115 28 Athens, Greece.

View larger version (141K): [in a new window]   Fig. 1A. —48-year-old man with HIV who was being treated with antibiotic therapy at time of drainage. Unenhanced 10-mm-thick CT scan shows area of low attenuation in splenic substance that has multilocular configuration with septations.

View larger version (123K): [in a new window]   Fig. 1B. —48-year-old man with HIV who was being treated with antibiotic therapy at time of drainage. CT scan shows introduction of 8-French pigtail catheter into larger cavity. On follow-up evaluation 6 days later (not shown), residual cavity was noted. Second catheterization was performed, but no causative microorganism could be identified from drained pus.

View larger version (143K): [in a new window]   Fig. 2A. —65-year-old woman who recently underwent left-sided colectomy. Unenhanced 10-mm-thick CT scan shows intrasplenic gas-containing collection, consistent with abscess.

View larger version (144K): [in a new window]   Fig. 2B. —65-year-old woman who recently underwent left-sided colectomy. Unenhanced 10-mm-thick CT scan shows percutaneous introduction of 10-French pigtail catheter for drainage of abscess. Escherichia coli was causative microorganism.

View larger version (164K): [in a new window]   Fig. 3A. —39-year-old man with history of blunt abdominal trauma who presented with pain and high fever. Unenhanced 10-mm-thick CT scan shows hypodense lesion in spleen that could be attributed to hematoma and small subcapsular fluid collection.

View larger version (134K): [in a new window]   Fig. 3B. —39-year-old man with history of blunt abdominal trauma who presented with pain and high fever. CT scan shows introduction of 8-French catheter that drained purulent fluid.

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