Yang Yingchun, Liu Jian, Zheng Zebing, Tang Chengyan, Zhu Daiwei, Xia Xingrong, Huang Lu, Du Qing, Hao Yongxing, Liu Yuanmei, Jin Zhu
Department of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Department of Pediatric Surgery, Guizhou Children Hospital, Zunyi, China.
Front Pediatr. 2023 May 5;11:1162527. doi: 10.3389/fped.2023.1162527. eCollection 2023.
Splenic abscesses in children are very rare, and multiple splenic abscesses are rarer. These lesions are difficult to diagnose quickly because of their low incidence and the low specificity of the associated clinical and imaging findings. The treatment of splenic abscesses includes conservative treatment, percutaneous drainage, and splenectomy, but the selection criteria for treatment are still unclear. We present a case of a 13-year-old girl with multiple splenic abscesses. Her blood culture report was negative. We eventually confirmed the diagnosis by enhanced magnetic resonance imaging (MRI). The patient underwent a successful laparoscopic total splenectomy, and her symptoms were resolved thereafter.
儿童脾脓肿非常罕见，多发性脾脓肿则更为罕见。由于其发病率低以及相关临床和影像学表现的特异性低，这些病变很难快速诊断。脾脓肿的治疗包括保守治疗、经皮引流和脾切除术，但治疗的选择标准仍不明确。我们报告一例13岁患有多发性脾脓肿的女孩。她的血培养报告为阴性。我们最终通过增强磁共振成像（MRI）确诊。患者接受了成功的腹腔镜全脾切除术，此后症状得到缓解。
