Splenic abscess

The character and management of splenic abscess has changed in the past decade. The condition is more frequent, diagnosis is more easily established, and survival is more likely. Seven patients with splenic abscess from 1981-1992 were retrospectively reviewed. These patients had different etiologies...

Full description

Saved in:
Bibliographic Details
Published inThe American surgeon Vol. 60; no. 5; p. 358
Main Authors Paris, S, Weiss, S M, Ayers, Jr, W H, Clarke, L E
Format Journal Article
LanguageEnglish
Published United States 01.05.1994
Subjects
Abscess - diagnosis
Abscess - diagnostic imaging
Abscess - surgery
Adult
Aged
Aged, 80 and over
Anti-Bacterial Agents - therapeutic use
Cause of Death
Female
Follow-Up Studies
Humans
Male
Middle Aged
Premedication
Retrospective Studies
Splenectomy - adverse effects
Splenic Diseases - diagnosis
Splenic Diseases - diagnostic imaging
Splenic Diseases - surgery
Survival Rate
Tomography, X-Ray Computed
Online AccessGet more information

Cover

More Information
Summary:The character and management of splenic abscess has changed in the past decade. The condition is more frequent, diagnosis is more easily established, and survival is more likely. Seven patients with splenic abscess from 1981-1992 were retrospectively reviewed. These patients had different etiologies for their splenic abscess, including hematogenous bacteria spread, contiguous spread, and previous history of trauma to the spleen or left upper quadrant. Most patients presented clinically with fever, left upper quadrant tenderness, and leukocytosis. All patients underwent CT scanning that was reliably diagnostic. All seven patients underwent splenectomy. Six of the seven patients were discharged from the hospital. We conclude that CT scan remains the gold standard for definitive diagnosis of splenic abscess, and splenectomy is very effective therapy.
ISSN:0003-1348