Figure 8.

A 88-year-old male with multiple medical problems who presented with fever and abdominal pain following therapeutic splenic embolization for hypersplenism and thrombocytopenia. (A) Contrast enhanced CT was performed and demonstrated a splenic abscess (white arrow). (B) The abscess was initially treated with percutaneous abscess drain (black arrow). After the drainage catheter was removed the patient became hypotensive. Interventional radiology was consulted for splenic artery embolization. (C) Initial splenic artery angiogram demonstrated extravasation of contrast from distal splenic vessels adjacent to the abscess cavity (black arrow). (D) Mid splenic artery embolization was performed (black arrow), and the patient’s hemodynamic status improved.