Conservative Management of a Rare Contiguously Spread Splenic Abscess

Splenic abscess is a rare condition that generally results from hematogenous spread and affects individuals with hemoglobinopathies or immunocompromising conditions. Although optimal management has recently been under contention, this condition was traditionally managed with splenectomy. We present...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2023-12, Vol.15 (12), p.e50747
Main Authors: Chadha, Arjun, Joshi, Saakshi, Ghumman, Jaspreet K
Format: Article
Language:English
Subjects:
Abdomen
Abscesses
Antibiotics
Ascites
Case reports
Catheters
Cysts
Endocarditis
Gastroenterology
General Surgery
Immunocompetence
Infectious diseases
Internal Medicine
Pancreatitis
Pleural effusion
Sepsis
Spleen
Thoracentesis
Ultrasonic imaging
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Summary:Splenic abscess is a rare condition that generally results from hematogenous spread and affects individuals with hemoglobinopathies or immunocompromising conditions. Although optimal management has recently been under contention, this condition was traditionally managed with splenectomy. We present a rare case of a 58-year-old male with chronic pancreatitis that developed a splenic abscess via a contiguous spread of a pancreatic pseudocyst. His condition was complicated by septic shock. The splenic abscess was managed with antibiotics, image-guided percutaneous drainage, and notably without surgical intervention.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.50747