%0 Journal Article %T Splenic necrosis requiring ultrasound-guided drainage following meningococcal septicaemia %A Kosuke Kato %A Thomas A Gleeson %J Archive of "Oxford Medical Case Reports". %D 2019 %R 10.1093/omcr/omz020 %X Splenic necrosis is an extremely rare complication in the context of meningococcal septicaemia and disseminated intravascular coagulopathy. We present the case of a previously healthy 22-year-old male who was diagnosed and treated for meningococcal septicaemia. He represented 4 days following discharge with significant splenic necrosis and associated abscess formation despite previously unremarkable imaging on his first admission. The splenic collection was successfully treated with ultrasound-guided percutaneous drainage. We discuss the leading causes of atraumatic splenic infarction and the recent shift towards treating splenic necrosis with minimally invasive procedure %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440269/