Saber Aly
Department of General Surgery, Port-Fouad General Hospital Al-Obour Street- Port-Fouad, 11361 Egypt.
Cases J. 2009 Jul 23;2:7340. doi: 10.4076/1757-1626-2-7340.
Abscess of the spleen is a rather clinical rarity with reported mortality rate up to 47%. The timely and widespread use of imaging methods facilitates early diagnosis and guides treatment, thus improving the prognosis. Most of patients were with recognized risk factors including conditions that compromise the immune system, trauma and intravenous drug abuse in addicts. The surgical treatment by splenectomy is usually the first choice of treatment.
A healthy 45-year-old woman presented to the outpatient clinic with fever, 39 degrees C together with persistent upper-left-quadrant abdominal pain. Her past medical history was free from any chronic debilitating diseases or other predisposing factors. Imaging included chest and abdominal X-ray, followed by a CT scan of the upper abdomen.
Splenic abscess is an unusual and potentially life-threatening disease with a diagnostic challenge due to the nonspecific clinical picture and diagnosis confirmed based mostly on imaging studies. Multiple splenic abscesses are very rarely encountered in surgical practice with a reported high mortality rate in neglected and untreated cases. Splenectomy is a safe procedure for patients with splenic abscess.
脾脓肿在临床上较为罕见，报道的死亡率高达47%。及时广泛地使用影像学方法有助于早期诊断并指导治疗，从而改善预后。大多数患者存在公认的危险因素，包括损害免疫系统的疾病、创伤以及成瘾者的静脉药物滥用。脾切除术的手术治疗通常是首选治疗方法。
一名45岁健康女性因发热（体温39摄氏度）及左上腹持续疼痛就诊于门诊。她既往无任何慢性衰弱性疾病或其他易感因素。影像学检查包括胸部和腹部X线，随后进行上腹部CT扫描。
脾脓肿是一种不常见且可能危及生命的疾病，因其临床表现不具特异性，诊断主要基于影像学检查，故诊断具有挑战性。在外科实践中，多发性脾脓肿非常罕见，据报道，在未得到重视和未治疗的病例中死亡率很高。脾切除术对脾脓肿患者来说是一种安全的手术。
