Abstract

Objective To investigate the etiology, diagnosis and treatment of splenic abscess, in order to improve the understanding of the disease, so as to obtain a better diagnosis and treatment effect. Methods The clinical data of six patients with splenic abscess from June 2012 to December 2014 were retrospectively analyzed. Results Among the six patients, four patients with type 2 diabetes, four patients with malnutrition and one patient with traumatic rupture of spleen. All the patients were cured. One patients recovered after anti-infection and nutritional support treatment, three patients recovered by spleen resection and two patients recovered after percutaneous catheter drainage under guidance of color Doppler ultrasound. There was no relapse during 3 to 6 months of follow-up. Conclusions Type 2 diabetes, malnutrition and age are the main factors in the pathogenesis of splenic abscess. Splenectomy is the main treatment for the patients with multiple splenic abscess, and for the patients with single splenic abscess without break, puncture drainage should be choosed preferentially. Key words: Splenic abscess; Splenectomy; Puncture and drainage

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