Splenectomy versus Imaging-Guided Percutaneous Drainage for Splenic Abscess: A Systematic Review and Meta-Analysis

Gutama, Barite; Wothe, Jillian K.; Xiao, Mengli; Hackman, Dawn E.; Chu, Haitao; Rickard, Jennifer

doi:10.1089/sur.2022.072

Cited by 14 publications

(6 citation statements)

References 46 publications

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“…The mortality rate of splenic abscesses is still high, and early detection is crucial. Fever, left upper quadrant pain, and leucocytosis are present in one-third of the cases [ 13 ]. The patient had recent abdominal surgery, trauma, and angioembolization, which are risk factors for splenic abscess.…”

Section: Discussionmentioning

confidence: 99%

A Splenic Abscess in a Trauma Setting: A Case Report and Comprehensive Literature Review

Tooza,

Lee

2024

Cureus

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A splenic abscess is rare after trauma, and it has been reported with high mortality rates. Treatment options include antibiotics, percutaneous pigtail drain, or surgical intervention; however, there are no specific guidelines for the treatment of splenic abscesses in trauma settings. We report a 69-year-old male who came in with a splenic abscess after angioembolisation for a splenic laceration after having a right hemicolectomy. Our case presents new information and current recommendations for the management of splenic abscesses based on a comprehensive literature review.

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Section: Discussionmentioning

confidence: 99%

A Splenic Abscess in a Trauma Setting: A Case Report and Comprehensive Literature Review

Tooza,

Lee

2024

Cureus

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“…However, the recent advancement of image-guided percutaneous catheter drainage has facilitated a less invasive procedural approach. A recent meta-analysis comparing health outcomes between the two options revealed drainage as the superior option, given associations with lower complications and mortality rates [ 7 ]. Notably, these associations were not statistically significant, and the optimal treatment option for specific cases still relies on the patient's individual clinical scenario.…”

Section: Discussionmentioning

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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“…Splenectomy. Patient clinical status, abscess location, size of the abscess, number of the abscess (single or multiple) and the local expertise are important factors for decision and its individualized [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2023

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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.

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Splenectomy versus Imaging-Guided Percutaneous Drainage for Splenic Abscess: A Systematic Review and Meta-Analysis

Cited by 14 publications

References 46 publications

A Splenic Abscess in a Trauma Setting: A Case Report and Comprehensive Literature Review

A Splenic Abscess in a Trauma Setting: A Case Report and Comprehensive Literature Review

Conservative Management of a Rare Contiguously Spread Splenic Abscess

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

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