SPLENIC ABSCESS: SINGLE INSTITUTIONAL REVIEW OF FOUR CASES

Dr. Shivang Joshi*, Dr. Rohan Jain and Dr. Kunj Vyas

ABSTRACT

Abscess of the spleen is a rare disease, with about 600Cases in the reported so far. Although it may have various causes, it is mostly associated with trauma and infections of the spleen. The infections are more common in the presence of a different primary site of infection, especially endocarditis. Immunosuppressant is a major risk factor. Patients on Clinical examination normally presents with a combination of fever, left-upper-quadrant abdominal pain and vomiting. Laboratory findings are not constant. Imaging and investigation are necessary for establishing the diagnosis, there is always a choice between ultrasound and computed tomography. Treatment includes conservative measures, and surgical intervention, in cases of single abscesses with a thick wall, percutaneous catheter drainage may be attempted. Otherwise, splenectomy is the preferred approach in most centers., we report four cases of spleen abscess. In all four patients splenectomy was performed, and all patients recovered clinically .This case series emphasize that current understanding of spleen abscess etiology is still very little known, and a study for additional risk factors may be necessary.

Keywords: Spleen, abscess, trauma, splenectomy.