Document Detail


Rational approach to therapy in splenic abscess.
MedLine Citation:
PMID:  2395127     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Intrasplenic abscess is an uncommon but potentially lethal condition. Seven cases of splenic abscess were seen between 1985 and 1988. There are no specific clinical findings; symptoms and signs of fever, abdominal pain and tenderness were present in all seven cases but were only helpful in diagnosing splenic abscess in three cases. Computed tomographic scanning probably at present offers the most direct way of evaluating the spleen and making an early diagnosis. Splenectomy was done in three cases and antibiotics were used in four cases with equally successful results. Contrary to the prevalent opinion, we believe that medical management is an important addition to the surgeon's armamentarium and offers a viable alternative in selected cases of splenic abscess. A successful outcome is dependent on a high degree of clinical alertness, an aggressive diagnostic approach and prompt effective treatment.
Authors:
H S Walia; S Aman; H K Walia
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the Royal College of Surgeons of Edinburgh     Volume:  35     ISSN:  0035-8835     ISO Abbreviation:  J R Coll Surg Edinb     Publication Date:  1990 Jun 
Date Detail:
Created Date:  1990-10-09     Completed Date:  1990-10-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7503110     Medline TA:  J R Coll Surg Edinb     Country:  SCOTLAND    
Other Details:
Languages:  eng     Pagination:  154-8     Citation Subset:  IM    
Affiliation:
Department of Surgery, Amiri Hospital, Kuwait.
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MeSH Terms
Descriptor/Qualifier:
Abscess / diagnosis,  therapy*
Adult
Aged
Female
Humans
Male
Middle Aged
Splenectomy
Splenic Diseases / diagnosis,  therapy*
Tomography, X-Ray Computed

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