Splenic abscess - Presentation, diagnosis, and treatment

M. G. Sarr, G. D. Zuidema

Research output: Contribution to journalArticle

62 Scopus citations

Abstract

Splenic abcess is an unusual entity. In the last 30 years at the Johns Hopkins Hospital, only 11 patients have been treated for clinically overt splenic abscess. Generally presenting with fever, leukocytosis, and left-sided upper abdominal pain in the setting of generalized sepsis, the majority had a distant source of bacteremia or an underlying defect in splenic architecture or function. Prior to 1970, diagnosis was one of exclusion, and delay in treatment was frequent. Recently, diagnosis has been facilitated by splenic scintiscans, ultrasonography, and computerized axial tomography. These techniques now affored earlier, objective evidence of splenic involvement. Although splenectomy controls local splenic suppuration, the ultimate prognosis rests on the underlying process predisposing the patient to development of splenic infection.

Original languageEnglish (US)
Pages (from-to)480-485
Number of pages6
JournalSurgery
Volume92
Issue number3
StatePublished - Dec 1 1982

ASJC Scopus subject areas

  • Surgery

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    Sarr, M. G., & Zuidema, G. D. (1982). Splenic abscess - Presentation, diagnosis, and treatment. Surgery, 92(3), 480-485.