Splenic abscess: presentation, treatment options, and results
| Autor: | Edward W. Nelson, William E. Faught, Jeffrey J. Gilbertson |
|---|---|
| Rok vydání: | 1989 |
| Předmět: |
Adult
Male medicine.medical_specialty Percutaneous medicine.medical_treatment Splenectomy medicine Humans Abscess Aged Retrospective Studies Splenic Diseases Aged 80 and over biology business.industry Streptococcus viridans Treatment options Splenic abscess General Medicine Bacterial Infections Middle Aged biology.organism_classification medicine.disease Surgery Female Radiology Bacteroides fragilis Presentation (obstetrics) business Tomography X-Ray Computed |
| Zdroj: | American journal of surgery. 158(6) |
| ISSN: | 0002-9610 |
| Popis: | Pyogenic splenic abscess is a rare condition that tends to occur in patients with predisposing factors. The use of splenectomy or computed tomography guided percutaneous drainage in 10 patients with splenic abscess is presented. In 8 of 10 cases, the diagnosis was based on abdominal computed tomography scan. Seven of 10 patients were treated with splenectomy, and 3 were managed with computed tomography-guided drainage. Abscess cultures included Escherichia coli, Enterobacter, Streptococcus viridans, Staphylococcus aureus, and Bacteroides fragilis. There were two morbidities and one death in the splenectomy group and no complications in those treated with percutaneous drainage. This review suggests a flexible approach in the management of splenic abscess. Although splenectomy remains the traditional treatment for bacterial splenic abscess, CT-guided drainage may be appropriate in carefully selected patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|