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An Uncommon Case of Splenic Abscess with Gangrenous Gas Necrosis

Sunil Basukala1, Bishnu Deep Pathak1, Gaurab Mainali2

  • 1Department of Surgery, Nepalese Army Institute of Health Sciences, College of Medicine, Kathmandu, Nepal.

Case Reports in Surgery
|January 25, 2022
PubMed

Insights

Splenic abscess, a rare and dangerous condition, presents diagnostic challenges. Early detection via clinical signs, ultrasound, and CT scans is crucial for effective management, including surgery.

Area of Science:

  • Medicine
  • Radiology
  • Surgery

Background:

  • Splenic abscess is a rare but life-threatening condition with high mortality rates.
  • Common symptoms include fever, left upper quadrant pain, and elevated white blood cell count.
  • Diagnostic challenges exist despite typical clinical presentations.

Observation:

  • Early diagnosis is achievable through a combination of clinical evaluation, abdominal ultrasonography (USG), and computed tomography (CT).
  • This case highlights a rare instance of splenic abscess with gangrenous gas necrosis.

Findings:

  • The patient presented with symptoms consistent with splenic abscess.
  • Imaging studies confirmed the presence of a splenic abscess with gas necrosis.
  • Surgical intervention, specifically splenectomy, was performed.

Implications:

  • Prompt diagnosis and appropriate management, including imaging and potential surgery, are vital for improving patient outcomes.
  • This case underscores the importance of considering rare presentations of splenic abscess.
  • Effective treatment strategies for splenic abscess involve medical therapy, percutaneous drainage, or splenectomy.

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