Clinical Quiz
Taking history, let the cat out of the bag – The case of Ilaria
Francesca Bizzoco¹, Ruggiero Francavilla¹, Fernanda Cristofori¹, Stefano Palladino¹, Vincenzo Genchi5
1U.O. di Pediatria Universitaria Generale e Specialistica Bruno Trambusti Dipartimento di Scienze Biomediche e Oncologia Umana - Azienda Universitaria Ospedaliera Consorziale Policlinico di Bari - Ospedale Pediatrico Giovanni XXIII –Università degli Studi di Bari “Aldo Moro” 2Vincenzo Genchi Radiologo Pediatra Apulia imaging Bari (BA)
Ilaria, a 14-year-old girl, complains of dull abdominal pain associated with chronic low-grade fever. The abdominal ultrasound shows multiple intrasplenic hypo-anechoic formations. Main infectious and neoplastic causes are ruled out. Collecting a more in-depth history during the follow-up, a new crucial detail leads to an unexpected diagnosis.