Document Detail

Splenic abscess--presentation, diagnosis, and treatment.
MedLine Citation:
PMID:  7112399     Owner:  NLM     Status:  MEDLINE    
Splenic abscess is an unusual entity. In the last 30 years at the Johns Hopkins Hospital, only 11 patients have been treated for clinically overt splenic abscess. Generally presenting with fever, leukocytosis, and left-sided upper abdominal pain in the setting of generalized sepsis, the majority had a distant source of bacteremia or an underlying defect in splenic architecture or function. Prior to 1970, diagnosis was one of exclusion, and delay in treatment was frequent. Recently, diagnosis has been facilitated by splenic scintiscans, ultrasonography, and computerized axial tomography. These techniques now afford earlier, objective evidence of splenic involvement. Although splenectomy controls local splenic suppuration, the ultimate prognosis rests on the underlying process predisposing the patient to development of splenic infection.
M G Sarr; G D Zuidema
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgery     Volume:  92     ISSN:  0039-6060     ISO Abbreviation:  Surgery     Publication Date:  1982 Sep 
Date Detail:
Created Date:  1982-10-12     Completed Date:  1982-10-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0417347     Medline TA:  Surgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  480-5     Citation Subset:  AIM; IM    
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MeSH Terms
Abscess / classification,  diagnosis*,  etiology,  surgery
Bacterial Infections / complications
Middle Aged
Splenic Diseases / classification,  diagnosis*,  etiology,  surgery

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