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Posterior urethral valve (PUV) is the most common cause of lower urinary tract obstruction in male neonates, with an incidence of 1 in 8000–25,000 live births. The clinical course of PUV diagnosed late in life is quite unpredictable. The prognosis of late-diagnosed PUV depends chiefly on the renal function at presentation. A literature search was performed on the delayed presentation of PUV. Serum creatinine at presentation, nadir serum creatinine (defined as the lowest creatinine attained in the year after valve ablation), and renal parenchymal echogenicity were significant predictors of final renal outcome. A generalization cannot be made regarding the prognosis of late-presenting PUV patients. The prognosis varies from case to case. If renal function at presentation and after valve ablation is preserved, then late-presenting PUVs carry good prognosis. Age per se does not carry any prognostic significance.

Splenic abscess is an infrequently encountered condition. Diagnosis becomes especially challenging when a patient is a healthy asymptomatic individual with incidental finding of a cystic lesion in the spleen on imaging. The prognosis of splenic abscesses is better if they are diagnosed early since successful management of splenic abscess depends on early initiation of treatment. We present one such case report of a healthy, relatively asymptomatic adult with incidentally detected splenic abscess with no history of toxic symptoms.