Marcos A, Vegas A M, del Médico P, Valera R, Piñero R, Piñate S, Marzullo V, Pifano E
Servicio de Gastroenterología, Hospital Vargas.
G E N. 1993 Oct-Dec;47(4):221-5.
Splenic abscess remains a rare entity, reserved for patients with predisposing factors or immunosuppressive conditions. In our 13 patients in which a splenic abscess was diagnosed pre- or intra-operatively, an average of 14 days past before the diagnosis was made. Main symptoms were fever, upper left abdominal pain, auscultatory left basal anomalies and splenomegaly. Culture from the spleen material included E. coli, Staphylococcus, Proteus, Salmonella and Streptococcus v. Although splenectomy has been considered the standard procedure for this pathology, we treated our last three patients by means of Computed Tomography Percutaneous Drainage (C.T.G.P.D.). There was no need for splenectomy after this procedure and there were no complications associated with the C. T. G. P. D.
脾脓肿仍然是一种罕见的病症，多见于有易感因素或免疫抑制状况的患者。在我们术前或术中诊断出脾脓肿的13例患者中，平均在诊断前过去了14天。主要症状为发热、左上腹疼痛、左肺底听诊异常和脾肿大。脾脏材料培养出的细菌包括大肠杆菌、葡萄球菌、变形杆菌、沙门氏菌和链球菌。尽管脾切除术一直被认为是这种病症的标准治疗方法，但我们最近的三名患者采用了计算机断层扫描引导下经皮引流术（C.T.G.P.D.）进行治疗。该手术后无需进行脾切除术，且未出现与C.T.G.P.D.相关的并发症。
