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Splenic Abscess in Qatar: A Single-Center Experience.
Fahmi Yousef Khan1, Ahmed Elmudathir1, Muhammed Abu Bakir1
1Department of Medicine, Hamad General Hospital, Doha, Qatar
Qatar Medical Journal
|March 24, 2022
Summary
Splenic abscess (SA) is rare, but this Qatar study found bacterial causes and bacteremia were common. Percutaneous drainage is an effective treatment for splenic abscess, reducing surgery needs.
Area of Science:
- Infectious Diseases
- Abdominal Imaging
- Surgical Outcomes
Background:
- Splenic abscess (SA) is a rare condition with limited data in Arab and Gulf regions.
- This study addresses the knowledge gap by analyzing SA cases in Qatar.
Purpose of the Study:
- To describe the demographics, clinical characteristics, and etiologies of splenic abscess.
- To evaluate treatment modalities and outcomes for splenic abscess patients.
- To provide insights into SA management in a tertiary care setting in Qatar.
Main Methods:
- Retrospective observational study at Hamad General Hospital.
- Inclusion of patients aged 18 and above diagnosed with SA between January 2015 and December 2020.
- Analysis of patient demographics, clinical presentation, microbiology, treatment, and outcomes.
Main Results:
- 25 patients (56% male, mean age 48.6 years) were included.
- Fever (84%) was the most common symptom; bacteremia (60%) was a major predisposing factor.
- Bacterial etiology was identified in 64% of cases. Percutaneous drainage (60%) was the primary treatment, with 12% in-hospital mortality.
Conclusions:
- Splenic abscess can result from diverse microorganisms requiring targeted antimicrobial therapy.
- Abdominal CT is a valuable diagnostic tool for splenic abscess.
- CT- and ultrasound-guided percutaneous drainage are effective treatments, minimizing the need for splenectomy.
