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.

Background: Due to the rapidly increasing prevalence of diabetes mellitus (DM), the number of patients undergoing surgery and therefore requiring anesthesia has become higher than ever. In this study we aimed to compare blood glucose levels and hemodynamic parameters of patients with and without overt DM who have received general anesthesia and local anesthesia with sedation for cataract surgery. Methods: In this cross-sectional study, 120 patients with DM and 120 patients without DM were included. Each of these patients was randomly assigned to receive general anesthesia or local anesthesia with sedation. blood glucose levels and hemodynamic parameters were measured before surgery, 30 minutes after surgery and six hours after surgery. Results: There was no significant difference between the four groups in terms of age, gender and duration of surgery (P > 0.05). Blood glucose levels didn’t differ between non-diabetic patients receiving general and local anesthesia before or at any time after surgery (P > 0.05). Blood glucose levels were higher in diabetic patients compared to non-diabetics before or at any time after surgery (P < 0.001). 30 minutes and six hours after surgery, blood glucose levels of diabetic patients receiving general anesthesia were significantly higher than diabetic patients receiving local anesthesia with sedation (P < 0.001). No significant difference was noted regarding blood glucose changes during the study time frames in any of the 4 study groups. Diabetic patients receiving general anesthesia had higher blood glucose levels compared to non-diabetics and diabetic patients receiving local anesthesia with sedation (p < 0.001). Before surgery, the four study groups did not differ significantly in SBP, DBP, HR, RR and O2 sat (P > 0.05DBP, HR and RR were not different among the study groups 30 minutes after surgery (P > 0.05). SBP, DBP, HR and RR were not different among the study groups six hours after surgery (P > 0.05). Conclusion: Patients receiving general anesthesia should be monitored more closely to prevent anesthesia-induced respiratory depression. Using local anesthesia with sedation instead of general anesthesia can help prevent the detrimental effects of perioperative hyperglycemia in diabetic patients undergoing cataract surgery.