We report a case of multiple aseptic splenic abscesses occurring in a woman with Crohn's disease for three years. All microbiological samples were negative. The diagnosis was suspected on abdominal echography and CT scan and confirmed on histologic examination of the splenectomy specimen. The evolution was marked by recurrence of fever and inflammatory syndrome, associated to transitory morphological abnormalities of the accessory spleen. Aseptic splenic abscesses recurrence was suspected. This case allows us to consider aseptic splenic abscesses as an extra-intestinal manifestation and not as a splenic localisation of Crohn's disease.

译文

我们报告了一名患有克罗恩氏病的妇女三年发生的多发性无菌性脾脓肿的病例。所有微生物样本均为阴性。在腹部回声造影和ct扫描中怀疑诊断,并在脾切除术标本的组织学检查中证实。这种演变的特征是发热和炎症综合征的复发,与副脾的暂时性形态异常有关。怀疑无菌性脾脓肿复发。这种情况使我们能够将无菌性脾脓肿视为肠外表现,而不是克罗恩氏病的脾脏定位。

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