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Multiple large splenic abscesses managed with computed tomography-guided percutaneous catheter drainage in children

Jung Sook Yeom1, Ji Sook Park, Ji-Hyun Seo

  • 1Department of Pediatrics, Gyeongsang National University, School of Medicine, Gyeongsang Institute of Health Science, Jinju, South Korea.

Pediatrics and Neonatology
|April 20, 2013
PubMed

Insights

Multiple splenic abscesses in children are rare. This case highlights successful management using image-guided percutaneous drainage and antibiotics, avoiding splenectomy.

Area of Science:

  • Pediatric Surgery
  • Infectious Diseases
  • Radiology

Background:

  • Splenic abscesses are uncommon in pediatric patients.
  • Splenectomy with antibiotics is the traditional treatment for multiple splenic abscesses.
  • This case explores alternative minimally invasive approaches.

Observation:

  • A 14-year-old female presented with multiple large splenic abscesses.
  • Initial drainage of a peripheral abscess was performed using ultrasound guidance.
  • A second, centrally located abscess required computed tomography (CT) guidance for drainage.

Findings:

  • Successful management of multiple large splenic abscesses was achieved through two percutaneous drainage procedures.
  • Intravenous antibiotics complemented the drainage interventions.
  • This represents the first reported case of multiple large splenic abscesses treated with CT-guided percutaneous drainage.

Implications:

  • Image-guided percutaneous drainage offers a viable, less invasive alternative to splenectomy for pediatric splenic abscesses.
  • CT-guided drainage is effective for complex or centrally located splenic abscesses.
  • This approach may improve outcomes and reduce morbidity in pediatric patients with splenic abscesses.

Keywords:
percutaneous drainagesplenic abscess

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