Tooza Salam, Lee Nicholas
General Surgery, John Hunter Hospital, Newcastle, AUS.
Trauma Surgery, John Hunter Hospital, Newcastle, AUS.
Cureus. 2024 Feb 25;16(2):e54866. doi: 10.7759/cureus.54866. eCollection 2024 Feb.
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.
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。