Ultrasound guided percutaneous treatment for splenic abscesses: The significance in treatment of critically ill patients

Zerem, Enver

doi:10.3748/wjg.v12.i45.7341

Cited by 66 publications

(55 citation statements)

References 16 publications

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“…Spleen has a vital role in the immunologic function; hence splenectomised patients have a higher incidence of infections and post-operative morbidity. Though splenic abscesses are currently managed primarily by percutaneous drainage, splenectomy still has a major role to play [9,10].…”

Section: Discussionmentioning

confidence: 99%

“…There was no significant difference in terms of the demographic data between the three treatment groups. The cause of splenic abscesses is often due to haematogenous spread or spread from contagious organs [9]. Increasing prevalence of diabetes mellitus, HIV/AIDS and liver disease, due to changing lifestyle trends, predispose the patients to splenic abscesses.…”

Section: Discussionmentioning

confidence: 99%

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A Retrospective Study of 75 Cases of Splenic Abscess

et al. 2011

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Splenic abscess is an uncommon and lifethreatening condition. Due to its nonspecific clinical picture, it remains a diagnostic challenge. Multiple radiological modalities are used for the diagnosis. In this retrospective study we analyzed 75 patients treated between 1999 and 2009. The patients were divided into three groups depending on the treatment received. Group I (n=14) consisted of patients treated with only antibiotics, Group II (n=19) patients were treated with percutaneous drainage and Group III (n=42) with splenectomy. We tried to establish epidemiologic and clinical features and therapeutic options in splenic abscess. Our study suggests that percutaneous drainage is a safe and effective alternative to surgery especially in unilocular or bilocular abscesses thus allowing preservation of the spleen. It should be considered as the first line of treatment although splenectomy remains the final definitive procedure if percutaneous drainage fails.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Retrospective Study of 75 Cases of Splenic Abscess

et al. 2011

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“…Abscesses of the spleen are rather rare, especially in developed countries in which the frequency of parasitic infections is low [2,[13][14][15][16][17] . From this point of view, the random discovery of three such cases in a single Greek hospital in the course of two years may at first appear to signify an increased incidence.…”

Section: Discussionmentioning

confidence: 99%

“…Imaging by common abdominal X-ray or ultrasound may be suggestive, but the lesion is usually revealed via computed tomography (CT). Due to the seriousness of the potential implications, including a threat to life itself, the most usual treatment currently applied is splenectomy, which is followed by rapid clinical improvement [13][14][15] .…”

Section: Introductionmentioning

confidence: 99%

Abscesses of the spleen: Report of three cases

Fotiadis¹,

Lavranos²,

Patapis³

et al. 2008

WJG

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“…(6) akciğer apselerine bilgisayarlı tomografi eşliğinde perkütan olarak drenaj tedavisi uyguladıkları 40 olguyu içeren seride %83 oranında bir tedavi başarısı sağlamışlardır. Ultrasonografi eşliğinde ince iğne aspirasyonu tedavileri, meme apsesinde, batın içi apselerde ve özellikle de karaciğer ve dalak apselerinde uzun süredir başarılı bir tedavi şekli olarak kullanılmaktadır (7,8). Bizim yaptığımız literatür araştırmasında erişkinlerde ultrasonografi eşliğinde ince iğne aspirasyonu ile akciğer apsesinin tedavisine rastlamadık.…”

Section: Discussionunclassified

Treatment of Lung Abscess by Ultrasonography Guided Fine Needle Aspiration

Gümüş¹,

Kayhan²,

Çınarka³

et al. 2014

Respir Case Rep

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Akciğer apsesi, piyojenik mikroorganizmaların doku nekrozuna yol açması sonucu akciğer parankiminde oluşan kaviter, düzgün sınırlı, lokalize ve süpüratif bir lezyondur. Radyolojik olarak hava-sıvı düzeyi göste-ren kavite görünümü ile tanınır ve bu olguların %10-15'i antibiyotik tedavisine rağmen iyileşmemektedir. Girişimsel tedavi yöntemleri arasında transtorasik tüp drenajı, bronkoskopi veya bilgisayarlı tomografi eşli-ğinde aspirasyon ve cerrahi rezeksiyon bulunmaktadır. Burada diyabeti olan 70 yaşındaki bir kadın hastayı sunmaktayız. Hastanın sağ akciğer alt lobunda periferik yerleşimli bir apse saptandı. İlk olarak medikal tedavi yapıldı. Yanıt alınamaması üzerine ultrasonografi eşliğinde ince iğne aspirasyonu ile apse drenajı yapıldı. Yaptığımız literatür araştırmasında, ultrasonografi eşliğinde ince iğne aspirasyonuyla tam olarak iyileşen başka bir akciğer apsesi olgusuna rastlamadık. Sonuç olarak toraks duvarına komşu periferik akciğer apselerinin tedavisinde; kolay ulaşılabilirliği, ucuz bir yöntem olması ve radyasyon maruziyetine yol açmaması nedeniyle ultrasonografi eşliğinde transtorasik apse drenajı, ilk tercih olarak düşünülmelidir. Anahtar Sözcükler: Akciğer apsesi, ultrasonografi, ince iğne apirasyonu.Lung abscess is a well-circumscribed and localized suppurative lesion in the lung parenchyma as a result of pyogenic microorganisms, which usually leads to tissue necrosis and cavitation. The lung abscess radiologically appears as an air-fluid level and despite the antibiotic treatments, up to 10%-15% of these lesions do not heal. In these cases, drainage by the transthoracic catheters and aspiration by the guidance of bronchoscopy or computed tomography and surgical resection are the choices of treatment modalities. Herein, we report a 70-year-old female patient with diabetes mellitus. A lung abscess was detected in the right lower lobe with peripheral localization. The patient did not recover by medical therapy and the content of abscess was aspirated by ultrasonography guidance. No cases with lung abscess that was treated completely with the fine needle aspiration by the guidance of ultrasonography were found in the literature. As a result, we recommend that transthoracic drainage of peripheral lung abscesses by the guidance of ultrasonography should be considered as a first choice treatment modality with the advantages of being affordable, convenient, and with no exposure to radiation.

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Ultrasound guided percutaneous treatment for splenic abscesses: The significance in treatment of critically ill patients

Cited by 66 publications

References 16 publications

A Retrospective Study of 75 Cases of Splenic Abscess

A Retrospective Study of 75 Cases of Splenic Abscess

Abscesses of the spleen: Report of three cases

Treatment of Lung Abscess by Ultrasonography Guided Fine Needle Aspiration

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