Splenectomy for E. coli abscess: A case report with a difficult preoperative diagnosis and unclear pathogenesis

Casaccia, M.; Macina, Simona; Fornaro, Rosario; Frascio, Marco; Testa, Tommaso; Stabilini, Cesare; Gianetta, Ezio

doi:10.1016/j.ijscr.2016.04.027

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2023

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“…Splenic abscesses have a predilection for patients with hemoglobinopathies or immunocompromised states. The optimal treatment modality is still controversial but includes the following options: acute surgical intervention, antimicrobial medical management, and percutaneous drainage [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Conservative Management of a Rare Contiguously Spread Splenic Abscess

Chadha,

Joshi,

Ghumman

2023

Cureus

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Splenic abscess is a rare condition that generally results from hematogenous spread and affects individuals with hemoglobinopathies or immunocompromising conditions. Although optimal management has recently been under contention, this condition was traditionally managed with splenectomy. We present a rare case of a 58-year-old male with chronic pancreatitis that developed a splenic abscess via a contiguous spread of a pancreatic pseudocyst. His condition was complicated by septic shock. The splenic abscess was managed with antibiotics, image-guided percutaneous drainage, and notably without surgical intervention.

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Section: Introductionmentioning

confidence: 99%