Document Detail


Splenic abscess: report of six cases and review of the literature.
MedLine Citation:
PMID:  11206904     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Splenic abscesses are rare but appear to be increasing in frequency. Recent advances in radiologic techniques have affected the diagnosis and management. The purpose of this study was to evaluate these effects. The medical records of one institution were retrospectively reviewed and six cases of splenic abscesses seen between 1989 and 1999 were identified. All patients had predisposing conditions with metastatic hematogenous infection in three and one each with trauma, immunodeficiency, and a contiguous site of infection. Fever was present in all patients with chills and vomiting in five and three patients, respectively. Left upper quadrant tenderness appeared in four patients and leukocytosis was found in every patient except one with the acquired immunodeficiency syndrome. Chest roentgenograms were abnormal in five patients with a left pleural effusion most common. Ultrasound revealed the defect in both patients it was utilized in and computed tomography was diagnostic in all cases. The causative organisms were anaerobes in two cases and Candida albicans, Streptococcus viridans, Escherichia coli, and Citrobacter freundii each present in one case. Radiology guided percutaneous drainage was attempted in four patients but was only successful in one. Splenectomy with antibiotics was curative in the remainder with a 100 per cent survival. These data suggest that percutaneous drainage may be appropriate for certain patients initially, but the high failure rate demonstrates that splenectomy remains the standard treatment.
Authors:
B T Green
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The American surgeon     Volume:  67     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  2001 Jan 
Date Detail:
Created Date:  2001-02-05     Completed Date:  2001-02-22     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  80-5     Citation Subset:  IM    
Affiliation:
Division of Infectious Diseases, University of South Alabama, Mobile, USA.
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MeSH Terms
Descriptor/Qualifier:
Abdominal Abscess* / diagnosis,  epidemiology,  radiography,  surgery
Adult
Causality
Humans
Male
Middle Aged
Splenectomy
Splenic Diseases* / diagnosis,  epidemiology,  radiography,  surgery
Tomography, X-Ray Computed
Comments/Corrections
Comment In:
Am Surg. 2001 Oct;67(10):1014-5   [PMID:  11603543 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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