Fig. 21.
Splenic clostridia abscess in a 71-year-old woman with advanced pancreatic cancer. a Axial and b reconstructed coronal intravenous contrast-enhanced CT images demonstrate a heterogeneous predominantly gas containing complex collection in the medial spleen (arrowheads), in addition to perisplenic rim-enhancing collection containing fluid and a few gas pockets (white arrows). Culture was positive for polymicrobial clostridioides. Noted are numerous liver metastases (black arrows)
