Laparoscopic approach for pancreato-splenic abscess from disseminated melioidosis: Surgical outcome and review of literature
| Autor: | Adrian Kah Heng Chiow, Nita Thiruchelvam, Lip Seng Lee, Hiang Jin Tan, Siong San Tan |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Melioidosis biology Burkholderia pseudomallei business.industry medicine.medical_treatment Splenectomy Splenic abscess medicine.disease biology.organism_classification Surgery medicine.anatomical_structure Radiological weapon medicine Operative time Medline database business Pancreas |
| Zdroj: | International Journal of Case Reports. :241 |
| ISSN: | 2572-8776 |
| Popis: | Melioidosis is a severe systemic infection caused by Burkholderia pseudomallei. It commonly affects the lungs, liver and kidneys. Pancreatic and splenic abscess from melioidosis is rare, with few reports in the literature. We present a series of 4 patients with disseminated melioidosis of pancreas and spleen who required surgical intervention. A MEDLINE database review was conducted. Relevant publications were evaluated and demographic data, clinical, radiological findings as well as management options were collected. We found 10 case reports describing this clinical condition. In our series, median age was 57. Median operative time 260 minutes. All four patients failed trial of antibiotic therapy and required surgery. Three underwent distal pancreatosplenectomy and one underwent splenectomy alone. Laparoscopic distal pancreatosplenectomy was successful in two patients. Median length of stay 11.5 days. No post-operative complications and mortality reported. Surgery is indicated in failed medical therapy and laparoscopic approach is safe and feasible. |
| Databáze: | OpenAIRE |
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