Splenic abscess. A case report

Authors

  • Jorge Luis González Jara Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, Cuba
  • Manuel Salvador López Cárdenas Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, Cuba
  • Michael Cruz García Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, Cuba

Keywords:

endocarditis, bacterial/complications, tomography, x-ray computed, splenectomy, antibiotics/therapeutic use

Abstract

The splenic abscess is not a common illness. There are less than 700 cases described in medical literature since the beginning of the 20th century. The causes described are the contiguous infections at any level of the abdominal cavity, as well as the hematogenic way. Eighty percent of them take place or coincide with systemic sepsis such as: otitis, mastoiditis, peritonsillar abscesses, suppurative parotiditis, cutaneous infections, lung abscesses, appendicitis, diverticulitis, cholecystitis and osteomielytis. A 58 year old female patient, who was admitted to hospital presenting abdominal pain in the upper hemiabdomen, a prolonged fever of 38-39 degrees Celsius and pain on deep palpation in the left hypochondrium, is presented. The patient underwent an abdominal spiral tomography and a hypodense image of 8x6cm in the lower pole of the spleen was seen; it corresponded to a splenic abscess. A splenectomy with a toilet of the splenic cavity was carried out, and a postoperative treatment was implemented. The patient evolved satisfactorily and was discharged the eighth postoperative day.

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Author Biographies

Jorge Luis González Jara, Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, Cuba

Especialista de I Grado en Cirugía General. Profesor Instructor del Instituto Superior de Ciencias Médicas de Villa Clara “Dr. Serafín Ruiz de Zárate Ruiz”.

Manuel Salvador López Cárdenas, Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, Cuba

Especialista de I Grado en Cirugía General

Michael Cruz García, Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, Cuba

Residente de Cirugía General

How to Cite

1.
González Jara JL, López Cárdenas MS, Cruz García M. Splenic abscess. A case report. Acta Méd Centro [Internet]. 2009 Jan. 1 [cited 2025 Jul. 2];3(1):34-8. Available from: https://revactamedicacentro.sld.cu/index.php/amc/article/view/424

Issue

Section

Case Reports