Sarr M G, Zuidema G D
Surgery. 1982 Sep;92(3):480-5.
Splenic abscess is an unusual entity. In the last 30 years at the Johns Hopkins Hospital, only 11 patients have been treated for clinically overt splenic abscess. Generally presenting with fever, leukocytosis, and left-sided upper abdominal pain in the setting of generalized sepsis, the majority had a distant source of bacteremia or an underlying defect in splenic architecture or function. Prior to 1970, diagnosis was one of exclusion, and delay in treatment was frequent. Recently, diagnosis has been facilitated by splenic scintiscans, ultrasonography, and computerized axial tomography. These techniques now afford earlier, objective evidence of splenic involvement. Although splenectomy controls local splenic suppuration, the ultimate prognosis rests on the underlying process predisposing the patient to development of splenic infection.
脾脓肿是一种罕见的病症。在过去30年里，约翰·霍普金斯医院仅有11例临床明显的脾脓肿患者接受了治疗。脾脓肿一般表现为发热、白细胞增多，以及在全身性脓毒症背景下出现的左上腹疼痛，大多数患者有菌血症的远处来源或脾结构或功能的潜在缺陷。1970年以前，诊断主要靠排除法，治疗常常延误。近来，脾闪烁扫描、超声检查和计算机轴向断层扫描有助于诊断。这些技术现在能提供脾受累的更早、更客观的证据。虽然脾切除术可控制局部脾化脓，但最终的预后取决于使患者易发生脾感染的潜在病情。
