A rare indication of splenectomy - A case report

Splenic abscess is a rare clinical problem with variable clinical presentation. mortality rate is very high in cases involving multiple abscesses,immunocompromized states and in patients with gram negative infection. treatment with splenectomy followed by antibiotics is the main stay for management of this condition. we report here a case of 55 years old lady,presented to us in emergency department with shortness of breath,on and off feverand pain in left upper abdomen. we advised complete blood count which showed increased leukocyte count. chest x-ray showed large left sided hydrothorax. splenic abscesses are increasing in frequency. they still pose a diagnostic challenge due to variable presentation. advance radiologic investigations are best aids for diagnosis. splenectomy is still the favorable treatment option. © 2014 pakistan journal of medical and health sciences. all rights reserved.