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KMID : 0614620180720040209
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Korean Journal of Gastroenterology
2018 Volume.72 No. 4 p.209 ~ p.212
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Asymptomatic Splenic Cysts in an Immunocompromised Patient: Should They Be Investigated
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Hwang Hyun-Jung
Baeg Myong-Ki
Kim Pum-Soo
Kim Yu-Jin
Kang Seok-Hyung
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Abstract
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Splenic abscess is a rare disease that generally occurs in immunocompromised patients. It is difficult to distinguish between splenic abscesses and cysts using imaging studies, especially if they are asymptomatic. A 50-year-old asymptomatic man who had received steroid therapy for underlying rheumatoid arthritis was referred to a university hospital due to presence of several splenic cysts, with the largest being 3.5 cm in diameter. Percutaneous aspiration was performed, and fluid analysis showed cysts infected by extended-spectrum, beta-lactamase-producing Escherichia coli. The patient was treated with ertapenem for four weeks, and the lesion disappeared on follow-up imaging studies. Splenic abscess should be included as a differential diagnosis of splenic cystic lesions in immunocompromised patients.
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KEYWORD
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Splenic cyst, Splenic abscess, Arthritis, rheumatoid, Percutaneous drainage
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