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Ruptured Splenic Abscess following Percutaneous Transluminal Angioplasty in a 40-Year-Old Man.
1Department of Internal Medicine, Medical College Hospital, Thiruvanthapuram, India.
Case Reports in Gastroenterology
|July 4, 2012
Summary
Splenic abscesses, though rare, can rupture into the abdomen. This case highlights a ruptured splenic abscess after percutaneous coronary intervention, suggesting antibiotic prophylaxis for high-risk patients.
Area of Science:
- Medicine
- Infectious Diseases
- Cardiology
Background:
- Splenic abscesses have a low incidence (0.14-0.7%) but high mortality (0-47%).
- Diagnosis is challenging due to rarity and non-specific symptoms.
- Percutaneous coronary interventions (PCIs) and stenting have significantly increased.
Observation:
- A 40-year-old male presented with abdominal pain post-PCI.
- Initial ultrasound and blood tests were inconclusive.
- CT scan revealed a ruptured splenic abscess.
Findings:
- The abscess was caused by multidrug-resistant Klebsiella pneumoniae.
- The patient responded well to surgical drainage and meropenem.
- This is the first reported case of ruptured splenic abscess post-PCI.
Implications:
- Consider splenic abscess in patients with abdominal pain after PCI.
- Antibiotic prophylaxis may be warranted for high-risk immunocompromised patients undergoing PCI.
- Further research is needed to establish guidelines for antibiotic prophylaxis in this context.
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