Related Experiment Video
Updated: Sep 1, 2026

Posterior Approach for Debridement of the Psoas Abscess
Published on: March 2, 2020
[Splenic abscess. 3 cases (author's transl)]
Abstract:
The authors report three cases of splenic abscess. The condition developed twice during a salmonella infection associated in one case with sickle cell disease. In two patients, the spleen was the site of a suppurated infarction. One patient died shortly after operation. Study of the 79 cases of splenic abscess treated surgically published since 1960 reveals a mortality of 16%. This rare condition is seen essentially during typhoid and septicaemias (endocarditis). Such pathology in also now seen in drug addicts. The diagnosis and, hence, the prognosis should be improved by the use of echography which seems to be the most reliable investigation before peritonitis by rupture which remains a complication associated with a heavy mortality.
Insights
Splenic abscess, often linked to salmonella infections and sickle cell disease, can be fatal. Early diagnosis with echography is crucial for improving patient outcomes and reducing mortality.
Area of Science:
- Medicine
- Infectious Diseases
- Surgical Pathology
Background:
- Splenic abscess is a rare but serious condition.
- Historically associated with typhoid fever and endocarditis.
- Emerging cases observed in intravenous drug users.
Observation:
- Three cases of splenic abscess are presented.
- Two cases involved salmonella infection, one with sickle cell disease.
- Suppurated infarction of the spleen occurred in two patients.
Findings:
- A review of 79 surgically treated splenic abscess cases since 1960 shows a 16% mortality rate.
- Echography is identified as a reliable diagnostic tool.
- Rupture leading to peritonitis is a severe complication with high mortality.
Implications:
- Improved diagnostic accuracy through echography can enhance prognosis.
- Understanding the evolving risk factors, including drug abuse, is important.
- Prompt surgical intervention and diagnostic imaging are vital for managing splenic abscess.
Related Concept Videos
Brain Abscess l: Introduction
Appendicitis

