Splenic abscess--etiologic, clinical and diagnostic features
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GHIDIRIM, Gheorghe; ROJNOVEANU, Gheorghe; MISHIN, Igor; GAGAUZ, Ion; GURGHIŞ, Radu. Splenic abscess--etiologic, clinical and diagnostic features. In: Chirurgia (București, Romania). 2007, nr. 3(102), pp. 309-314. ISSN 1221-9118.
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Chirurgia (București, Romania)
Numărul 3(102) / 2007 / ISSN 1221-9118

Splenic abscess--etiologic, clinical and diagnostic features

Abcesul lienal--aspecte etiologice, clinice şi diagnostice


Pag. 309-314

Ghidirim Gheorghe12, Rojnoveanu Gheorghe12, Mishin Igor12, Gagauz Ion12, Gurghiş Radu12
 
1 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
2 Municipal Clinical Emergency Hospital
 
Disponibil în IBN: 17 iulie 2020


Rezumat

The aim of the study is to elucidate premorbid grounds, diagnostic and clinical peculiarities, as well as medical and surgical management of non-parasitic spleen abscess. We study 6 cases, with median age 56.7 years, men/women ratio--2:1. Onset-diagnosis period was of median 20 days. In 5 cases (83.3%) spleen abscess developed in immune compromised patients (diabetes mellitus, liver cirrhosis, pancreatitis) and in one case (16.7%) subsequent to blunt abdominal trauma. Clinically, patients presented fever, weight loss and pain in the left upper quadrant of the abdomen. The imaging data (USG, CT, and Rx-thoracic) performed prior to surgery confirmed the diagnosis. USG revealed splenic injury in 80%, CT had a 100% sensibility and thoracic Rx revealed left-side pleuro-pulmonary reaction in 83% of cases. Bacteriological test was positive in 50% of cases. One death was recorded in first 24 hours after surgery. The rest of the cases had a favorable evolution, although, in 2 cases a left subphrenic abscess was noticed, one requiring drainage; in one case--colonic fistula, which closed spontaneously. Although, it's a rare pathology, an early diagnosis is as important, as impossible, and it's delay exhausts the organism and increases the postoperative morbidity rate, splenectomy remaining the safest method of treatment.



Cuvinte-cheie
abdominal injury, abscess, adult, Aged, article, blunt trauma, female, human, immune deficiency, injury, Male, microbiology, middle aged, mortality, retrospective study, spleen, spleen diseases, plenectomy, survival, treatment outcome