The specimen grew:

• gram negative rods, gram positive cocci

• Enterococcus faecalis, Streptococcus milleri and mixed anaerobes

A colonoscopy was also performed which was normal.

A transthoracic echocardiogram was also obtained due to the link between splenic abscess and infective endocarditis, reported as normal.

The patient was treated with IV antibiotics and had the drain removed three days later when draining had stopped. The patient was discharged with no further complications.

No cause for the abscess was found. There may have been some trauma to the spleen during delivery, which was then colonized by bacteria, but this cannot be proven.