Splenic abscess is rare disease and result from bacteremia associated with a primary septic focus such as bacterial endocarditis of lung abscess, or secondary infection on a portion of the spleen damaged by infarction, trauma or paracytic
infestation.
Clinical maniegastations are those of left subphrenic abscess and include fever, chills, LUQ tenderness and splenomegaly.
Diagnostic procedures are ultrasonography, radionucleotide scan of liver & spleen and abdominal CT scan, that are useful in differentiating splenic abscess from left subphrenic abscess and in determining whether there is single abscess or
multiple
abscess or multiple abscesses within the spleen.
The splenectomy has been prefered method for most patients. In selective patients with a single abscess and extensive adhesions between the spleen and adjacent structures, splenotomy and drainage may be advisable. Also, percutaneous drainage may
be
appropriate in single abscess.
Recently, authors had experienced 18-years old female patient who had splenic abscess. Salmonella Group B was isolated from culture of splenic abscess. We report this patients with a review of liteatures.
|