Journal Article

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

Sadeghian, Ehsan, Moghimi, Zahra, Notash, Aidin Yaghoobi, Sobhanian, Ehsan

2023

Overview

Background Splenic 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 presentation A 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. Conclusion Immune 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.

• Publisher: BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
• Subject: Abdomen / Abdominal Abscess - diagnostic imaging / Abdominal Abscess - etiology / Abdominal Abscess - therapy / Abdominal Pain - etiology / Abscess / Abscess - complications / Abscess - diagnostic imaging / Abscess - therapy / Abscesses / Aged / Antibiotics / Blood / Blood sugar / Case Report / Case reports / CT imaging / Diabetes / Disease transmission / Ejection fraction / Endocarditis / Family Medicine / Female / Fever / General Practice / Health aspects / Hemodynamics / Humans / Immunocompetence / Injuries / Internal Medicine / Intraabdominal Infections / Literature reviews / Medical imaging / Medicine / Medicine & Public Health / Patients / Primary Care Medicine / Public Health / Rare diseases / Risk factors / Splenectomy / Splenic abscess / Splenic Diseases - diagnostic imaging / Splenic Diseases - etiology / Splenic Diseases - therapy / Splenic injury / Surgery / Surgical Oncology / Tomography / Trauma