A Retrospective Study of 75 Cases of Splenic Abscess |
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Authors: | H Sreekar Vivek Saraf Ashok C Pangi H Sreeharsha Ravi Reddy Gautam Kamat |
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Institution: | (1) Department of Plastic Surgery, Christian Medical College, Vellore, 632004, India;(2) Department of gastroenterology, Amrita Institute of Medical Sciences and Research Centre, Cochin, Kerala, India;(3) Department of General Surgery, KLE’s PK Hospital and Research Centre, Belgaum, Karnataka, India;(4) SMS Medical College, Jaipur, India;(5) Vijaynagar Institute of Medical Sciences, Bellary, Karnataka, India;(6) Goa Medical College, Goa, India |
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Abstract: | Splenic abscess is an uncommon and life-threatening condition. Due to its nonspecific clinical picture, it remains a diagnostic
challenge. Multiple radiological modalities are used for the diagnosis. In this retrospective study we analyzed 75 patients
treated between 1999 and 2009. The patients were divided into three groups depending on the treatment received. Group I (n = 14) consisted of patients treated with only antibiotics, Group II (n = 19) patients were treated with percutaneous drainage and Group III (n = 42) with splenectomy. We tried to establish epidemiologic and clinical features and therapeutic options in splenic abscess.
Our study suggests that percutaneous drainage is a safe and effective alternative to surgery especially in unilocular or bilocular
abscesses thus allowing preservation of the spleen. It should be considered as the first line of treatment although splenectomy
remains the final definitive procedure if percutaneous drainage fails. |
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Keywords: | Splenic abscess Percutaneous drainage Splenectomy |
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