Abstract

A splenic abscess is arare disease found in less than 1% of all autopsy studies. Several different diseases are associated as apredisposing factor, such as septic bacteremia due to endocarditis or diverticulitis, previous splenic trauma, immunosuppressive medication or diseases. The reported mortality in the literature is up to 24.5% in correctly diagnosed and treated cases. The diagnostic work-up primarily comprises sonography and computed tomography as well as a percutaneous puncture for determination of the pathogen. In most cases, apercutaneous interventional drainage treatment is sufficient and asplenectomy is necessary only in refractory cases.

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