Abscesos esplénicos: Comunicación de siete casos y revisión de la literatura

Background: Splenic abscesses are uncommon, appear in subjects with predisposing factors such as systemic infections and have high mortality rates. Aim: To report seven patients with splenic abscesses. Material and Methods: Retrospective review of medical records of patients with a splenic abscess t...

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Autores principales:	Iñiguez C,Armando, Butte B,Jean Michel, Zuñiga A,José Miguel, Torres M,Javiera, Llanos L,Osvaldo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2008
Materias:	Abdominal abscess Sepsis Spleen
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000100005
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spelling	oai:scielo:S0034-988720080001000052008-04-30Abscesos esplénicos: Comunicación de siete casos y revisión de la literaturaIñiguez C,ArmandoButte B,Jean MichelZuñiga A,José MiguelTorres M,JavieraLlanos L,Osvaldo Abdominal abscess Sepsis Spleen Background: Splenic abscesses are uncommon, appear in subjects with predisposing factors such as systemic infections and have high mortality rates. Aim: To report seven patients with splenic abscesses. Material and Methods: Retrospective review of medical records of patients with a splenic abscess treated between 1987 and 2005. Results: The records of four women and three males aged 20 to 74 years, were reviewed. The most common presenting symptoms were fever and abdominal pain and all had predisposing factors. Six patients had a leukocyte count of 19,500 x mm³. Mean erythrocyte sedimentation rate and C reactive protein values were 75 mm/h and 13.5 mg/dl. Diagnosis was made with ultrasound in two patients and CT scan in five. Six patients had an unique abscess and one patient had multiple lesions. A splenectomy was done in three patients as the first choice treatment and in one, due to medical treatment failure. In two patients, a CT guided percutaneous drainage was performed and one patient was subjected to medical treatment only. Abscess cultures were positive in 50% of patients subjected to percutaneous drainage and in 50% of splenectomized patients. No patient died and no complications were observed in the early or ¡ate postoperative period. Conclusion: Splenic abscesses are associated to predisposing conditions. The first choice is surgical treatment, but percutaneous drainage is also a therapeutic option (Rev Méd Chile 2008; 136: 38-43)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.136 n.1 20082008-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000100005es10.4067/S0034-98872008000100005
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Abdominal abscess Sepsis Spleen
spellingShingle	Abdominal abscess Sepsis Spleen Iñiguez C,Armando Butte B,Jean Michel Zuñiga A,José Miguel Torres M,Javiera Llanos L,Osvaldo Abscesos esplénicos: Comunicación de siete casos y revisión de la literatura
description	Background: Splenic abscesses are uncommon, appear in subjects with predisposing factors such as systemic infections and have high mortality rates. Aim: To report seven patients with splenic abscesses. Material and Methods: Retrospective review of medical records of patients with a splenic abscess treated between 1987 and 2005. Results: The records of four women and three males aged 20 to 74 years, were reviewed. The most common presenting symptoms were fever and abdominal pain and all had predisposing factors. Six patients had a leukocyte count of 19,500 x mm³. Mean erythrocyte sedimentation rate and C reactive protein values were 75 mm/h and 13.5 mg/dl. Diagnosis was made with ultrasound in two patients and CT scan in five. Six patients had an unique abscess and one patient had multiple lesions. A splenectomy was done in three patients as the first choice treatment and in one, due to medical treatment failure. In two patients, a CT guided percutaneous drainage was performed and one patient was subjected to medical treatment only. Abscess cultures were positive in 50% of patients subjected to percutaneous drainage and in 50% of splenectomized patients. No patient died and no complications were observed in the early or ¡ate postoperative period. Conclusion: Splenic abscesses are associated to predisposing conditions. The first choice is surgical treatment, but percutaneous drainage is also a therapeutic option (Rev Méd Chile 2008; 136: 38-43)
author	Iñiguez C,Armando Butte B,Jean Michel Zuñiga A,José Miguel Torres M,Javiera Llanos L,Osvaldo
author_facet	Iñiguez C,Armando Butte B,Jean Michel Zuñiga A,José Miguel Torres M,Javiera Llanos L,Osvaldo
author_sort	Iñiguez C,Armando
title	Abscesos esplénicos: Comunicación de siete casos y revisión de la literatura
title_short	Abscesos esplénicos: Comunicación de siete casos y revisión de la literatura
title_full	Abscesos esplénicos: Comunicación de siete casos y revisión de la literatura
title_fullStr	Abscesos esplénicos: Comunicación de siete casos y revisión de la literatura
title_full_unstemmed	Abscesos esplénicos: Comunicación de siete casos y revisión de la literatura
title_sort	abscesos esplénicos: comunicación de siete casos y revisión de la literatura
publisher	Sociedad Médica de Santiago
publishDate	2008
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000100005
work_keys_str_mv	AT iniguezcarmando abscesosesplenicoscomunicaciondesietecasosyrevisiondelaliteratura AT buttebjeanmichel abscesosesplenicoscomunicaciondesietecasosyrevisiondelaliteratura AT zunigaajosemiguel abscesosesplenicoscomunicaciondesietecasosyrevisiondelaliteratura AT torresmjaviera abscesosesplenicoscomunicaciondesietecasosyrevisiondelaliteratura AT llanoslosvaldo abscesosesplenicoscomunicaciondesietecasosyrevisiondelaliteratura
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Abscesos esplénicos: Comunicación de siete casos y revisión de la literatura

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