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[Splenectomy for splenic abscess caused by Salmonella typhi]

G Lombardo1, M Sommo, R Baldinetti

  • 1I Divisione Chirurgica, Ospedale Martini, Torino.

Minerva Chirurgica
|October 15, 1993
PubMed
Summary

Splenectomy for splenic abscess is rare, particularly in Western nations. This case highlights Salmonella typhi as a cause, with only six reported instances since 1940, emphasizing splenectomy as the standard treatment.

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Area of Science:

  • Infectious Diseases
  • Surgical Pathology
  • Microbiology

Background:

  • Splenic abscess is an uncommon condition, especially in Western countries.
  • Salmonella typhi is a rare causative agent of splenic abscess.
  • Splenectomy is the established treatment for splenic abscess.

Observation:

  • A 19-year-old male presented with a splenic abscess.
  • The abscess was caused by Salmonella typhi.
  • The patient underwent a splenectomy.

Findings:

  • This case represents the seventh reported instance of splenic abscess caused by Salmonella typhi since 1940.
  • Literature review confirms the rarity of Salmonella typhi-induced splenic abscesses.
  • Splenectomy was performed as the definitive treatment.

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Implications:

  • This case contributes to the limited understanding of Salmonella typhi as a cause of splenic abscess.
  • Highlights the importance of considering Salmonella typhi in splenic abscess etiology, especially in endemic regions.
  • Reinforces splenectomy as the recommended surgical intervention for splenic abscesses regardless of the causative agent.