Case Of Splenic Abscess Research Articles

Staphylococcus aureus Abscess of the Spleen in a ß-Thalassemia Patient

Splenic abscesses are rare among abdominal abscesses. We present a case of splenic abscess due to Staphylococcus aureus in a beta-thalassemia major patient. Such a complication may not be coincidental, as beta-thalassemia major patients have an increased susceptibility to infection, which is attributable to a number of immune abnormalities.

Splenic Abscess: Report of Six Cases and Review of the Literature

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.

慢性すい炎が原因と思われたひ膿ようとひ梗塞が併存した１例

われわれは慢性膵炎に続発したと考えられた脾膿瘍, 脾梗塞のまれな1例を経験したので報告する.症例は78歳の男性. 1994年7月7日, 突発性の39度の発熱と突然の左上腹部痛が出現した. 精査の結果, 脾膿瘍の穿孔による左横隔膜下膿瘍および腹膜炎が疑われ, 脾臓摘出術および腹腔内ドレナージを施行した. 摘出標本の病理組織学的検索では, 膵臓は慢性膵炎の像を呈し, 脾臓内には広範な梗塞巣と膿瘍を認めた. 脾動脈には炎症性細胞浸潤を認め, 内腔は血栓により閉塞しており, 梗塞の原因となったと考えられた. また膵尾部の炎症性細胞の浸潤が脾下極の膿瘍に連続していることから, 膿瘍形成の直接の原因となったと考えられた. いずれの病態も慢性膵炎が原因でそれに続発したものと考えられた.

Splenic abscess in chronic calcifying pancreatitis

Abscess formation in chronic pancreatitis is rare and the pancreas and liver are the most frequent localizations. We present a novel case of splenic abscess in chronic pancreatitis that led to diabetic ketoacidosis in an alcoholic patient. Percutaneous drainage and antibiotic treatment sufficed to resolve completely the abscess.

A CASE OF RUPTURED SOLITARY SPLENIC ABSCESS IN A CHRONIC HEMODIALYSIS PATIENT

A case with a rapid clinical course of ruptured solitary splenic abscess on chronic hemodialysis is reported. A 76-year-old woman who had been on hemodialysis for the preceding 14 years due to chronic renal failure complained of appetite loss, nausea and diarrhea. Three days later, she felt a left upper abdominal pain and became febrile. On the next morning, she consulted with her general practitioner because of remarkable tenderness in the entire abdomen, and was immediately transferred to the hospital. On arrival, she had already been in a shock condition. With the diagnosis of panperitonitis, an emergency laparotomy was performed and generalized peritonitis due to rupture of splenic abscess was found out. Despite any treatments in the intensive care unit (ICU), she died one day after the operation. No case of splenic abscess with chronic hemodialysis has been reported in the literature as far as we could review. However, some complications associated with chronic hemodialysis appear to have correlation with etiologic factors of splenic abscess, and hence a future increase in splenic abscess is predictable. We should take the disease into consideration for chronic hemodialysis patients who complain general malaise, though it is relatively rare.

Splenic abscess in children with sickle-cell disease

This paper reviews four cases of splenic abscess in children. All of them had sickle-cell disease and were treated by splenectomy covered by a course of antibiotics and pneumovax and made a rapid recovery. Of particular interest was the isolation of salmonella in two of our patients. Splenic abscess is a not uncommon complication of sickle-cell disease, and physicians caring for these children must be aware of this complication, its mode of presentation, and alternate forms of management.

Splenic abscess as a complication of percutaneous nephrostomy

We report a case of splenic abscess as a complication of percutaneous nephrostomy tube placement. The patient was a sixty-three-year-old man suffering from a recurrence of transitional cell carcinoma of the bladder after cystectomy and neobladder substitution. Computed tomography of the abdomen identified the abscess, which was drained percutaneously. The patient's condition improved dramatically, and computed tomography showed complete resolution of the abscess two weeks after drainage. Splenic abscess is fatal if untreated and should be considered in a patient in whom sepsis or left lower pulmonary effusion develops after percutaneous manipulation of the kidney.

A CASE OF SPLENIC ABSCESS UNKOWN ORIGIN

A case of splenic abscess, an extremely rare condition, is reported with a review of the literature. The patient, a 71-year-old man was admitted to our hospital with the chief complaints of fever and chills. There was no abdominal pain or tenderness. Soon after admission antibiotics were given, but fever did not subside. Two days after admission ultrasonography was done to detect abscess of the abdominal cavity. Ultrasonography revealed multiple hypoechoic areas in the spleen, but not in the liver, resulting in a diagnosis of splenic abscess. On the 8th day after admission splenectomy was carried out and antibiotics were given. The postoperative course was smooth and the patient discharged with no abdominal symptons.

ひ膿ようの３治験例

ひ膿ようの３治験例

腹腔内巨大嚢胞を形成したひ膿ようの１例

腹腔内巨大嚢胞を形成したひ膿ようの１例

Splenic Abscess Due to Salmonella typhimurium Bacteremia

We have described a case of splenic abscess due to Salmonella typhimurium bacteremia. We believe abdominal roentgenograms and computed tomography are most effective in the preoperative evaluation of splenic abscess. Salmonella infections should be considered in the differential diagnosis of splenic abscess.

A Case of Splenic Abscess, Secondary to Invasion of the Stomach Wall of a Horse by Spiroptera Megastoma

A Case of Splenic Abscess, Secondary to Invasion of the Stomach Wall of a Horse by Spiroptera Megastoma