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[Splenic abscess. 3 cases (author's transl)]

B Delaitre, M Zerbib, Y Chapuis

    Journal De Chirurgie
    |April 1, 1982
    PubMed
    Summary
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    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.

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    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.