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Dr. John Hverified
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Yes, if there is an abscess on the spleen it will likely be enlarged. An abscess is a pocket of pus that forms when tissues become infected with bacteria. The spleen is an organ in the abdomen that helps to filter blood and fight infection. If an abscess forms on the spleen, it can cause the organ to become enlarged. Treatment typically involves antibiotics and surgery to drain the pus from the abscess. Patient with spleen abscess generally have pain and fever, however it is uncommon to have abscess in the spleen
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@codtmvoth
Dr. John H  Would an abdominal ultrasound show spleen problems? 
Dr. John Hverified
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@codtmvoth hi it may show on ultrasound. If you are concerned, CT abdomen with contrast will give you more information