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[Splenic abscess. Apropos of 5 cases]
B Fall1, A Dansokho, D Tetimian
1Clinique Chirurgicale, C.H.U. de Dakar, Hôpital A. Le Dantec, Sénégal.
Journal De Chirurgie
|May 1, 1991
Summary
Spleen abscesses are rare but often diagnosed late, leading to poor prognoses. Surgical intervention, like splenectomy, remains the primary treatment, with most patients recovering well post-surgery.
Area of Science:
- Medicine
- Surgery
- Radiology
Background:
- Spleen abscesses are uncommon, with autopsy prevalence ranging from 0.4% to 0.7%.
- Delayed diagnosis and poor prognosis are characteristic of spleen abscesses.
Observation:
- A 30-year retrospective study at Dakar's University Surgical Clinic identified 5 spleen abscess cases.
- Patients were young adults, with one case of sickle-cell anemia.
- Despite varied symptoms, diagnosis was consistently delayed.
Findings:
- Ultrasound aided diagnosis in three patients, but percutaneous treatment failed in two.
- All patients underwent total splenectomy.
- One patient died post-operatively due to a splenic hematoma; four patients recovered fully after splenectomy.
Implications:
- Spleen abscess diagnosis remains challenging despite advances in imaging like CT and ultrasound.
- Surgical management, specifically splenectomy, is crucial for spleen abscess treatment.
- Early detection and prompt surgical intervention are vital for improving patient outcomes in spleen abscess cases.