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Yonsei Med J. 2011 Mar;52(2):288-92. doi: 10.3349/ymj.2011.52.2.288.

Splenic abscess: a single institution study and review of the literature.

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1
Department of Surgery, Gachon University of Medicine and Science, Gil Hospital, 1198 Guwol-dong, Namdong-gu, Incheon 405-760, Korea.

Abstract

PURPOSE:

The aim of this study was to review our experience with splenic abscesses, with respect to the relevant aspects of splenic abscesses and treatment outcomes.

MATERIALS AND METHODS:

We reviewed the cases of 18 patients who had splenic abscesses and who were treated at our hospital from November 1993 to December 2008.

RESULTS:

The most common symptom at presentation was abdominal pain in 12 patients (66.7%). The median duration from symptom onset until establishment of a diagnosis was 22 days. Streptococcus viridans was the most common pathogen (27.8%), follow by Klebsiella pneumoniae (22.2%). The mortality rate during the inpatient period and the previous 90 days was 16.6%. Three of four patients with Klebsiella pneumoniae showed a single abscess pocket. Four patients (22.2%) underwent percutaneous drainage, eight (44.5%) received antibiotic treatment only and six (33.3%) underwent splenectomy.

CONCLUSION:

There is no gold standard for treating splenic abscesses. Treatment should be customized for each patient.

PMID:
21319348
PMCID:
PMC3051211
DOI:
10.3349/ymj.2011.52.2.288
[Indexed for MEDLINE]
Free PMC Article
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