Splenic abscess due to non-operative management of splenic injury: a case report

Journal of Medical Case Reports

Case Report

Zahra Moghimi¹  Ehsan Sadeghian²  Ehsan Sobhanian³  Aidin Yaghoobi Notash⁴ 

[1] Department of Gynecology, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran;Department of Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran;Department of Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran;Tehran University of Medical Sciences, Tehran, Iran;

关键词: Splenic abscess;    Splenic injury;    Diabetes;    Splenectomy;   

DOI  :  10.1186/s13256-023-04026-5

 received in 2023-04-22, accepted in 2023-06-06,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundSplenic abscess is a rare disease, with incidence of 0.2–0.7% in previous studies. It often appears with left upper quadrant abdominal pain, fever, chills. Splenic abscess often happens because of hematogenous spreading of infections, endocarditis, angioembolization and some other rare reasons. Treatment relies on one of these two methods: percutaneous drainage or surgery.Case presentationA 68-year-old diabetic Asian female (Asian woman) presented with generalized abdominal pain, low blood pressure, tachycardia, fever, lethargy and elevated level of blood sugar. She had history of conservative therapy in intensive care unit due to blunt abdominal trauma and splenic injury. She had a huge splenic abscess in ultrasonography and computed tomography scan so she went under splenectomy. Our patient had a splenic abscess without performing any intervention like angioembolization.ConclusionImmune compromised patients who are selected for nonoperative management after splenic injury need close follow up and evaluating about abscess formation for at least 2 weeks. Early diagnosis and treatment with two methods including percutaneous drainage or splenectomy should be considered and it depends on patient’s risk factors, vital signs, general conditions and presence or absence of sepsis.

【 授权许可】

CC BY   
© The Author(s) 2023

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