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<creators>
<creator>
<creatorName>Ghidirim, G.P.</creatorName>
<affiliation>Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“, Moldova, Republica</affiliation>
</creator>
<creator>
<creatorName>Rojnoveanu, G.A.</creatorName>
<affiliation>Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“, Moldova, Republica</affiliation>
</creator>
<creator>
<creatorName>Mişin, I.V.</creatorName>
<affiliation>Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“, Moldova, Republica</affiliation>
</creator>
<creator>
<creatorName>Gagauz, I.M.</creatorName>
<affiliation>Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“, Moldova, Republica</affiliation>
</creator>
<creator>
<creatorName>Gurghiş, R.I.</creatorName>
<affiliation>Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“, Moldova, Republica</affiliation>
</creator>
</creators>
<titles>
<title xml:lang='en'>Splenic abscess--etiologic, clinical and diagnostic features</title>
</titles>
<publisher>Instrumentul Bibliometric National</publisher>
<publicationYear>2007</publicationYear>
<relatedIdentifier relatedIdentifierType='ISSN' relationType='IsPartOf'>1221-9118</relatedIdentifier>
<subjects>
<subject>abdominal injury</subject>
<subject>abscess</subject>
<subject>adult</subject>
<subject>Aged</subject>
<subject>article</subject>
<subject>blunt trauma</subject>
<subject>female</subject>
<subject>human</subject>
<subject>immune deficiency</subject>
<subject>injury</subject>
<subject>Male</subject>
<subject>microbiology</subject>
<subject>middle aged</subject>
<subject>mortality</subject>
<subject>retrospective study</subject>
<subject>spleen</subject>
<subject>spleen diseases</subject>
<subject>plenectomy</subject>
<subject>survival</subject>
<subject>treatment outcome</subject>
<subject schemeURI='http://udcdata.info/' subjectScheme='UDC'>616.411-002-02-071</subject>
</subjects>
<dates>
<date dateType='Issued'>2007-06-18</date>
</dates>
<resourceType resourceTypeGeneral='Text'>Journal article</resourceType>
<descriptions>
<description xml:lang='en' descriptionType='Abstract'><p>The aim of the study is to elucidate premorbid grounds,&nbsp;diagnostic&nbsp;and&nbsp;clinical&nbsp;peculiarities, as well as medical and surgical management of non-parasitic spleen&nbsp;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&nbsp;abscess&nbsp;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&nbsp;splenic&nbsp;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&nbsp;abscess&nbsp;was noticed, one requiring drainage; in one case--colonic fistula, which closed spontaneously. Although, it&#39;s a rare pathology, an early diagnosis is as important, as impossible, and it&#39;s delay exhausts the organism and increases the postoperative morbidity rate, splenectomy remaining the safest method of treatment.</p></description>
</descriptions>
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<format>uri</format>
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