Percutaneous Drainage of Splenic Abscess: Case Report and Review of Literature

PEDIATRICS ◽  
1987 ◽  
Vol 79 (6) ◽  
pp. 1029-1031
Author(s):  
MANNACHANALLUR R. RAMAKRISHNAN ◽  
T. K. PARTHA SARATHY ◽  
MANI BALU

Splenic abscess is an uncommon entity, reported in 0.14% to 0.70% of several autopsy series. Untreated, the mortality approaches 100%.1 When the diagnosis is made preopenatively and treated by antibiotics and splenectomy, there is a 17% mortality, but preoperative diagnosis was made only in 33% of the cases in one review.2 High degree of clinical awareness and aggressive diagnostic approach are essential for early diagnosis. percutaneous drainage of splenic abscess has been demonstrated to be a safe and effective method of treatment in adults in eight cases,3-5 without mortality or significant complications. We present the first pediatric age patient who was successfully treated by percutaneous drainage.

2020 ◽  
Vol 2020 (6) ◽  
Author(s):  
Miguel A Moyon C ◽  
Gabriel A Molina ◽  
S Alexandra Valencia ◽  
Veronica M Basantes ◽  
R Alejandro Mecias ◽  
...  

Abstract Splenic abscess is a rare disease and a diagnostic challenge for the medical team. Attributable to its high mortality, prompt diagnosis and treatment are essential. A high degree of clinical awareness is required in conjunction with aggressive treatment, as misleading symptoms may delay treatment and worsen the patient’s prognosis. The management of splenic abscess is based on medical therapy, antibiotics and splenectomy or percutaneous drainage. We present the case of a 58-year-old patient presented with a splenic abscess after arterial embolization. He underwent surgery and completely recovered.


2018 ◽  
Vol 44 (1) ◽  
Author(s):  
Giulia Trippella ◽  
Paolo Lionetti ◽  
Sara Naldini ◽  
Francesca Peluso ◽  
Matteo Della Monica ◽  
...  

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Sanjeevani Masavkar ◽  
Preeti Shanbag ◽  
Prithi Inamdar

A high degree of suspicion and appropriate imaging studies are required for the early diagnosis of Pott’s spine. We describe a 4-year-old boy with Pott’s disease of the lumbar spine with bilateral psoas abscesses. The child responded to conservative treatment with antituberculous treatment and ultrasonographically guided percutaneous drainage of the abscesses.


2016 ◽  
Vol 10 (1) ◽  
pp. 22-24
Author(s):  
N.D. Srinivasaprasad ◽  
K. Manokaran ◽  
R. Vivekpraveen ◽  
M. Edwin Fernando

Children ◽  
2020 ◽  
Vol 7 (8) ◽  
pp. 88
Author(s):  
Hyun Woo Lee ◽  
Seung Beom Han

Splenic abscess occurs very rarely in healthy children. Although typhoid fever was the leading cause of splenic abscess in the pre-antibiotic era, Salmonella spp. remain to be the major pathogens causing splenic abscess, with an increasing worldwide frequency of splenic abscess due to non-typhoidal Salmonella infection. Here, we report the case of a 12-year-old boy, who was presumably diagnosed with acute gastroenteritis on admission and eventually diagnosed with a large splenic abscess (maximum diameter, 14.5 cm) caused by non-typhoidal Salmonella. Although splenectomy has been considered in cases of large splenic abscesses, the patient was treated with antibiotics and ultrasonography-guided percutaneous drainage. A detailed physical examination and appropriate imaging studies are necessary for the early diagnosis of extra-intestinal complications of non-typhoidal Salmonella enteritis. For treatment, percutaneous drainage, rather than splenectomy, can be used in large splenic abscesses.


1994 ◽  
Vol 13 (3) ◽  
pp. 167-170 ◽  
Author(s):  
Waseem Ashraf ◽  
Shiela Dawling ◽  
Lew J. Farrow

A case of suicidal poisoning with paraphenylenediamine (PPD) is reported. The patient presented with typical features of severe oropharyngeal oedema and rhabdomyolysis, He suffered sudden cardiac death within 4 hours of admission despite full supportive treatment. The diagnosis was only established after his death. Systemic poisoning with paraphenylenediamine (PPD) is rare in western countries, and therefore a high degree of awareness and circumstantial evidence is required to make an early diagnosis. The classical and other less commonly reported features of this poisoning are discussed. There is no specific antidote available but some guidelines for management of such a case are reviewed.


2021 ◽  
Author(s):  
Aiping ZHANG ◽  
Manman Liang ◽  
Zijian Wang ◽  
Weishun Hou ◽  
Jianghua Yang

Abstract BackgroundPregnant women due to reduced resistance, the probability of tuberculosis infection increased, easy to lead to the occurrence of tuberculosis, so pregnancy with tuberculosis is a risk to the health of pregnant women infectious diseases. However, the clinical symptoms of pregnancy with pulmonary tuberculosis are atypical, confused with the physiological reactions of pregnancy, and lack of clinical awareness, especially under the influence of the global COVID-19 epidemic, lung atypical lesions are prone to misdiagnosis or delayed diagnosis.Case presentationA 21-year-old woman was infected with Mycobacterium tuberculosis during the third trimester of pregnancy. The diagnosis and treatment of the patient were reported.ConclusionThe interaction between tuberculosis and pregnancy is like a double-edged sword. Reaising doctors’awareness on tuberculosis is fundamental, and early diagnosis and standardized treatment are the key to improve the outcome of pregnancy.


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