Splenic abscess

Conservative management of isolated splenic abscess in children

“…patients [10] because only anecdotal case reports or small case series of SA in children have been reported in the literature [11]. We present our experience with 18 children with SA from a single institution who were successfully managed by administration of intravenous broad-spectrum antibiotics and percutaneous aspiration of the SA.…”

Management of splenic abscess in children by percutaneous drainage

“…In large series and reviews that include both the adult and pediatric population, the etiologic factors recognized are metastatic infection from other sites in the body, such as bacterial endocarditis [1,15], secondary infection of splenic infarction such as hemoglobinopathies [19], trauma to the spleen, immunodeficiency state, and rarely contiguous infection by direct spread [6]. One of our cases was a thalassemic and one child had a history of typhoid fever, but the others did not have any predisposing factors.…”

Subtotal splenectomy for splenic abscess

“…In this case, the patient was receiving multiple intravenous drugs, what is a cause for transitory bacteremia 2 with posterior infection of the hematoma. The most common organisms obtained from culture of these abscesses are aerobic microbes, in particular the staphylococci (like this case), streptococci, salmonella and escherichia coli 4,7 . Anaerobic organisms are less frequently encountered and this may be due to the difficulty in culturing these microbes.…”

“…Abdominal US is cost-effective, noninvasive and very useful for percutaneous drainage. With a sensitivity of 96%, CT is presently the gold standard to establish the diagnosis 3,4,7 . Medical therapy with antibiotics alone have been reported in patients considered unfit for surgical intervention but is the exception rather than the rule.…”