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[Splenic abscess. A rare pathology requiring a multidisciplinary approach]
A Abou Mrad1, O Saint Marc, N Bercault
1Service de chirurgie générale, CHR Orléans.
Summary
Splenic abscesses present with vague symptoms and can be fatal if untreated. Early diagnosis via imaging and tailored treatment, including antibiotics, drainage, or surgery, are crucial for patient survival.
Area of Science:
- Medicine
- Radiology
- Surgery
Background:
- Splenic abscesses are rare but serious infections with nonspecific clinical presentations.
- The natural course of splenic abscess is often fatal, highlighting the need for prompt diagnosis and effective management.
Observation:
- Three case reports underscore the diagnostic and therapeutic challenges associated with splenic abscess.
- Ultrasound and CT scans are the preferred imaging modalities for diagnosing and monitoring splenic abscesses.
Findings:
- Treatment decisions for splenic abscess depend on abscess characteristics (number, volume) and extranodal involvement.
- While conservative management (antibiotics, percutaneous drainage) is frequently successful, splenectomy remains a primary or salvage option.
Implications:
- Advances in antibiotherapy and interventional radiology have significantly improved the therapeutic approach to splenic abscess.
- Accurate diagnosis and appropriate, timely intervention are critical for improving outcomes in splenic abscess cases.