Spleen pain

Elevated liver function tests, bilirubin or lipase, may suggest a hepatobiliary or pancreatic source for pain.

[3][4] Fever is the most common symptom of splenic abscess, followed by abdominal pain and a tender mass on palpation of the left upper quadrant of the abdomen.

The common signs and symptoms described of a splenic abscess include the triad of fever, left upper quadrant tenderness, and leukocytosis is present only in one-third of the cases.

The absence of substantial trauma cannot exclude the possibility of splenic injury, as individuals with a history of splenomegaly require less force for traumatic rupture.

[8] Kehr sign is a rare finding and should increase the suspicion of the peritoneal process and possible splenic rupture.

[7][9] It is important to ask focused questions regarding previous surgical history, hepatic disease process, recent infections, anticoagulant, aspirin or nonsteroidal anti-inflammatory drugs usage and bleeding disorders.