Fourteen weeks later (98 days), the patient represented with five days' history of sharp left flank pain radiating to the left shoulder and back. In the emergency department, she was febrile at 38.1 °C and tachycardic at 105 beats per minute. Inflammatory markers were elevated with white cell count (WCC) of 14.7 × 10 9 /L and C-Reactive Protein (CRP) of 190 mg/L. Repeat computerised tomography scan revealed a large area of devascularised splenic tissue with a peripherally enhancing collection measuring 4 cm and surrounding