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动脉栓塞术后脾脓肿:急性腹痛的罕见病因。

Splenic abscess after arterial embolization: a rare cause of acute abdomen.

作者信息

Moyon C Miguel A, Molina Gabriel A, Valencia S Alexandra, Basantes Veronica M, Mecias R Alejandro, Parra Ruben, Yunga Diego R

机构信息

Department of General Surgery at Hospital IESS HGSF, Quito, Ecuador.

Department of General Surgery at Hospital IESS Quito Sur, Quito, Ecuador.

出版信息

J Surg Case Rep. 2020 Jun 17;2020(6):rjaa146. doi: 10.1093/jscr/rjaa146. eCollection 2020 Jun.

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.

摘要

脾脓肿是一种罕见疾病,对医疗团队而言是一项诊断挑战。因其死亡率高,迅速诊断和治疗至关重要。除积极治疗外,还需要高度的临床警觉,因为具有误导性的症状可能会延误治疗并使患者预后恶化。脾脓肿的治疗基于药物治疗、使用抗生素以及脾切除术或经皮引流。我们报告一例58岁患者在动脉栓塞后出现脾脓肿的病例。他接受了手术并完全康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95db/7299608/194064a16045/rjaa146f1.jpg

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