[Crohn's disease complicated by multiple and recurrent aseptic splenic abscesses].
We report a case of multiple aseptic splenic abscesses occurring in a woman with Crohn's disease for three years. All microbiological samples were negative. The diagnosis was suspected on abdominal echography and CT scan and confirmed on histologic examination of the splenectomy specimen. The evolution was marked by recurrence of fever and inflammatory syndrome, associated to transitory morphological abnormalities of the accessory spleen. Aseptic splenic abscesses recurrence was suspected. This case allows us to consider aseptic splenic abscesses as an extra-intestinal manifestation and not as a splenic localisation of Crohn's disease.
Coat
N
N
Service des Maladies de l'Appareil Digestif, CHU Pontchaillou, Rennes, France.
Le Berre-Heresbach
N
N
Poinsignon
Y
Y
Rioux-Leclercq
N
N
Turlin
B
B
Siproudhis
L
L
Caulet-Maugendre
S
S
Bretagne
J F
JF
Gosselin
M
M
Heresbach
D
D
D000038:Abscess / Q000175:diagnosis / Q000209:etiology*; D000328:Adult; D003424:Crohn Disease / Q000150:complications*; D005260:Female; D006801:Humans; D012008:Recurrence; D013154:Spleen / Q000473:pathology; D013156:Splenectomy; D013158:Splenic Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography