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Splenic abscess: a rare presentation
The Egyptian Journal of Internal Medicine volume 27, pages 78–79 (2015)
Abstract
Splenic abscess is a rare clinical entity with an incidence of 0.2–0.7% in autopsy-based studies. When untreated, splenic abscess is associated with nearly 100% mortality; in treated patients, the mortality rate is 16.6% during the first 90 days. It mostly occurs in patients with neoplasia, immunodeficiency, trauma, diabetes or splenic infarct. The incidence of splenic abscess is thought to be growing because of the increase in the number of immunocompromised patients who are particularly at risk for this disease and also because of the widespread use of diagnostic modalities. However, the optimal treatment for this remains unclear. We present a case of a 42-year-old man diagnosed with multiloculated splenic abscess and was subjected to splenectomy.
References
Chun CH, Raff MJ, Contreans L, Varghese R, Waterman N, Daffner R, et al. Splenic abscess. Medicine (Baltimore) 1980; 59:50–65.
Tung CC, Chen FC, Lo CJ. Splenic abscess: an easily overlooked disease?. Am Surg 2006; 72:322–325.
Teich S, Oliver GC, Canter JW. The early diagnosis of splenic abscess. Am Surg 1986; 52:303–307.
Chou YH, Hsu CC, Tiu CM, Chang T. Splenic abscess: sonographic diagnosis and percutaneous drainage or aspiration. Gastrointest Radiol 1992; 17:262–266.
Ng KK, Lee TY, Wan YL, Tan CF, Lui KW, Cheung YC, Cheng YF. Splenic abscess: diagnosis and management. Hepatogastroenterology 2002; 49:567–571.
Ooi LL, Nambiar R, Rauff R, Mack PO, Yap TL. Splenic abscess. Aust N Z J Surg 1992; 62:780–784.
Carbonell AM, Kercher KW, Matthews BD, Joels S, Sings RF Hemiford BT. Laparoscopic splenectomy for splenic abscess. Surg Laparosc Endosc Percutan Tech 2004; 14:289–291.
Alonso Cohen MA, Galera MJ, M Ruiz, et al. Splenic abscess. World J Surg 1990; 14:513–517.
Paris S, Weiss SM, Ayers WH Jr, Clarke LE. Splenic abscess. Am Surg 1994; 60:358–361.
De Bree E, Tsiftsis D, Christodoulakis M, Harocopos G, Schoretsanitis G, Melissas J. Splenic abscess: a diagnostic and therapeutic challenge. Acta Chir Belg 1998; 98:199–202.
Sarr MG, Zuidema GD. Splenic abscess – presentation, diagnosis, and treatment. Surgery 1982; 92:480–485.
Tikakosi T, Siniluoto T, Paivansalo M, et al. Splenic abscess – imaging and intervention. Acta radiol 1992; 33:561–565.
Quinn SF, van Sonnenberg E, Casola G, Wittich GR, Neff CC. Interventional radiology in the spleen. Radiology 1986; 161:289–291.
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