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. 2023 Mar 18;48(6):2167–2195. doi: 10.1007/s00261-023-03877-2

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Fig. 23 — A 60-year-old male patient with known pancreatic cancer. A splenic artery pseudoaneurysm and a large hematoma were detected in the surgical bed 10 days after the Whipple procedure, and endovascular embolization of the pseudoaneurysm was performed (not shown). The patient presented to ER with left upper quadrant pain, high fever, and chills 9 days after the embolization procedure. a Axial plane postcontrast abdominal CT showed a large splenic abscess with air–fluid level (arrowhead), which almost completely replaced the splenic parenchyma (arrows). Viable parenchyma could only be seen in a small area within the lower pole of the spleen (asterisk). Percutaneous abscess drainage revealed purulent content, and culture grew Klebsiella pneumoniae. The patient was placed on IV antibiotherapy after catheter placement and was discharged uneventfully within 3 weeks. b Follow-up abdominal CT 2 years after the initial presentation showed complete regression of splenic abscess and multilobulated residual spleen parenchymae (arrows)