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创伤情况下的脾脓肿:一例报告及文献综述

A Splenic Abscess in a Trauma Setting: A Case Report and Comprehensive Literature Review.

作者信息

Tooza Salam, Lee Nicholas

机构信息

General Surgery, John Hunter Hospital, Newcastle, AUS.

Trauma Surgery, John Hunter Hospital, Newcastle, AUS.

出版信息

Cureus. 2024 Feb 25;16(2):e54866. doi: 10.7759/cureus.54866. eCollection 2024 Feb.

Abstract

A splenic abscess is rare after trauma, and it has been reported with high mortality rates. Treatment options include antibiotics, percutaneous pigtail drain, or surgical intervention; however, there are no specific guidelines for the treatment of splenic abscesses in trauma settings. We report a 69-year-old male who came in with a splenic abscess after angioembolisation for a splenic laceration after having a right hemicolectomy. Our case presents new information and current recommendations for the management of splenic abscesses based on a comprehensive literature review.

摘要

脾脓肿在创伤后较为罕见,且据报道死亡率很高。治疗选择包括抗生素、经皮猪尾引流或手术干预;然而,对于创伤情况下脾脓肿的治疗尚无具体指南。我们报告一例69岁男性,在右半结肠切除术后因脾破裂接受血管栓塞治疗后出现脾脓肿。我们的病例基于全面的文献综述,提出了关于脾脓肿管理的新信息和当前建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a045/10894503/16e9d28c3198/cureus-0016-00000054866-i01.jpg

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