Abscess of spleen is a rare condition and much rarer is ruptured splenic abscess. Till 2009, in international literature only 70 cases of ruptured splenic abscess have been reported. We report a case of 50 year old man who was referred to our hospital with the complaints of pain in the abdomen, vomiting and intermittent fever of 8 days duration. There was no history of trauma to the abdomen. Patient gave history of recent urinary tract infection, renal calculi and left hydronephrosis. Ultrasonographic study done just prior to the admission revealed enlarged spleen with splenomegaly. Pus drained during surgery revealed E. coli. Spleen weighed 300 gms and grossly showed a ruptured abscess measuring 4 cms in diameter which was confirmed microscopically. Urine sample on culture showed isolates of E. coli. Clinical importance of this condition lies in its high mortality. We report this case for its rarity and clinical importance of early diagnosis and management.
Ruptured Solitary Splenic Abscess, E. Coli, Spleen, Abscess.