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October 2007

Abnormal spleen
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Clinical information

Fever abdominal pain and an enlarged liver and spleen

Ultrasound Images & Clips

7 year old girl, Fever abdominal pain and an enlarged liver and spleen

Transverse image of an enlarged spleen with multiple hypoechoic round lesions
Transverse image of an enlarged spleen with multiple hypoechoic round lesions
Longitudinal image of an enlarged spleen with multiple hypoechoic round lesions
Longitudinal image of an enlarged spleen with multiple hypoechoic round lesions
The lesions are not vascularized
The lesions are not vascularized
The liver is also inhomogeneous with multiple hypoechoic lesions
The liver is also inhomogeneous with multiple hypoechoic lesions
Left liver lobe with 2 hypoechoic lesions longitudinal view
Left liver lobe with 2 hypoechoic lesions longitudinal view
Left liver lobe with hypoechoic lesions transverse view The lesions in the liver and the spleen are multiple hepatic and splenic abscesses. The girl had serological evidence of cat scratch disease. Cat scratch disease is an infection caused by a gram-
Left liver lobe with hypoechoic lesions transverse view The lesions in the liver and the spleen are multiple hepatic and splenic abscesses. The girl had serological evidence of cat scratch disease. Cat scratch disease is an infection caused by a gram-
After treatment the lesions diminish in size
After treatment the lesions diminish in size
Only a solitairy liver lesion can be identified
Only a solitairy liver lesion can be identified

Conclusion

References            
Kusuhara K, Nakao F, Saito M, Nakamura K, Ieiri S, Taguchi T, Hara T. Pyogenic splenic abscess in an infant with serological evidence of cat scratch disease.
Eur J Pediatr. 2006 Dec 22;

Dunn MW, Berkowitz FE, Miller JJ, Snitzer JA. Hepatosplenic cat-scratch disease and abdominal pain.
Pediatr Infect Dis J. 1997 Mar;16(3):269-72.

Rizkallah MF, Meyer L, Ayoub EM. Hepatic and splenic abscesses in cat-scratch disease. Pediatr Infect Dis J. 1988 Mar;7(3):191-5.

Details

  • Sex: Female
  • Age: 7

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photo Taco Geertsma
Author

Dr. Taco Geertsma

Retired Radiologist, Gelderse Vallei Hospital

Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. He was the head of the ultrasound department for many years.

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