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Splenic abscess-clinical symptoms and diagnostic possibilities
The American Journal of Gastroenterology
|January 1, 1982
Summary
A splenic abscess, a rare condition, was diagnosed in an elderly female patient. The abscess likely resulted from a urinary tract infection spreading to splenic infarction.
Area of Science:
- Medicine
- Infectious Diseases
- Radiology
Background:
- Splenic abscesses are uncommon, often presenting with non-specific symptoms.
- Early diagnosis and treatment are crucial for patient outcomes.
Observation:
- A 71-year-old female presented with leukocytosis and weight loss.
- Physical exam revealed decreased left lung excursion, pleural friction rub, and abdominal wall tension.
- Ultrasound identified pus in the splenic bed, leading to a diagnosis of splenic abscess.
Findings:
- Histology showed extensive splenic infarction.
- Identical pathogens were found in splenic pus, intraoperative swabs, and urine.
- The splenic abscess was attributed to hematogenous spread from a urinary tract infection to splenic infarction.
Implications:
- This case highlights the importance of considering urinary tract infections as a source of splenic abscesses.
- Radiological imaging, particularly ultrasound, is vital for diagnosis.
- Prompt surgical and antibiotic treatment leads to favorable outcomes.