Spontaneous abscesses of the spleen in an immunocompetent adult: Case report and review of the literature

Introduction: Splenic abscesses are typically associated with bacterial endocarditis or a contiguous abdominal infection. In this case, our patient was diagnosed with splenic abscesses without having an identifiable source of infection. To our knowledge, this is one of the rare reported cases of spontaneous splenic abscesses in a non­immunocompromised host. Case Report: An 82­year­old male was admitted with fever and fatigue for two weeks and was found to have leukocytosis and two large splenic abscesses on imaging studies. Extensive work­ up revealed no evidence of hematogenous spread from an endovascular source, no septic emboli in other organs and no proof of local spread from an infectious origin within the abdomen. Conclusion: Our case introduces an unusual presentation of splenic abscesses without the well­described pathophysiologic mechanisms to support their etiology.