Management of splenic abscess: report on 16 cases from a single center

Giovanna Ferraioli, Enrico Brunetti, Rosario Gulizia, Giuseppe Mariani, Piero Marone, Carlo Filice

Research output: Contribution to journalArticle

Abstract

Objectives: Splenic abscess is an uncommon disease, with a reported incidence of 0.14-0.7% in autoptic series. The best treatment option remains unclear. We report our experience of percutaneous drainage of splenic abscess under ultrasound (US) guidance. Methods: From 1979 to 2005, 16 consecutive patients (12 male and four female; mean age 39.9 years, range 16-72 years) were diagnosed with splenic abscess by means of US, and were treated with medical therapy alone or combined with US-guided percutaneous aspiration or catheter drainage. Results: Ten of 16 patients had bacterial abscesses (including one case of tubercular abscess), two had an amebic abscess, and four had fungal abscesses. Seven of ten patients with bacterial abscesses were successfully treated with fine needle aspiration alone, one patient was successfully treated with fine needle aspiration for one abscess and catheter drainage for another, and one patient, who subsequently required a splenectomy for an abdominal trauma, successfully underwent percutaneous catheter drainage alone. Four patients with fungal lesions were treated with medical therapy alone, and two patients later required a splenectomy. One patient with a bacterial abscess due to endocarditis was treated with medical therapy alone, and his recovery was uneventful. Conclusions: US-guided percutaneous aspiration of splenic abscesses is a safe and effective procedure. It can be used as a bridge to surgery in patients who are critically ill or have several comorbidities. Percutaneous aspiration may allow complete non-operative healing of splenic abscesses or temporize patients at risk for surgery.

Original languageEnglish
Pages (from-to)524-530
Number of pages7
JournalInternational Journal of Infectious Diseases
Volume13
Issue number4
DOIs
Publication statusPublished - Jul 2009

Fingerprint

Abscess
Drainage
Catheters
Splenectomy
Fine Needle Biopsy
Amebiasis
Therapeutics
Endocarditis
Critical Illness
Comorbidity
Incidence
Wounds and Injuries

Keywords

  • Percutaneous drainage
  • Spleen
  • Splenic abscess
  • Splenic diseases
  • Ultrasound guidance

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases

Cite this

Management of splenic abscess : report on 16 cases from a single center. / Ferraioli, Giovanna; Brunetti, Enrico; Gulizia, Rosario; Mariani, Giuseppe; Marone, Piero; Filice, Carlo.

In: International Journal of Infectious Diseases, Vol. 13, No. 4, 07.2009, p. 524-530.

Research output: Contribution to journalArticle

@article{d57c7018427246ecb5d2a2756ca54ceb,
title = "Management of splenic abscess: report on 16 cases from a single center",
abstract = "Objectives: Splenic abscess is an uncommon disease, with a reported incidence of 0.14-0.7{\%} in autoptic series. The best treatment option remains unclear. We report our experience of percutaneous drainage of splenic abscess under ultrasound (US) guidance. Methods: From 1979 to 2005, 16 consecutive patients (12 male and four female; mean age 39.9 years, range 16-72 years) were diagnosed with splenic abscess by means of US, and were treated with medical therapy alone or combined with US-guided percutaneous aspiration or catheter drainage. Results: Ten of 16 patients had bacterial abscesses (including one case of tubercular abscess), two had an amebic abscess, and four had fungal abscesses. Seven of ten patients with bacterial abscesses were successfully treated with fine needle aspiration alone, one patient was successfully treated with fine needle aspiration for one abscess and catheter drainage for another, and one patient, who subsequently required a splenectomy for an abdominal trauma, successfully underwent percutaneous catheter drainage alone. Four patients with fungal lesions were treated with medical therapy alone, and two patients later required a splenectomy. One patient with a bacterial abscess due to endocarditis was treated with medical therapy alone, and his recovery was uneventful. Conclusions: US-guided percutaneous aspiration of splenic abscesses is a safe and effective procedure. It can be used as a bridge to surgery in patients who are critically ill or have several comorbidities. Percutaneous aspiration may allow complete non-operative healing of splenic abscesses or temporize patients at risk for surgery.",
keywords = "Percutaneous drainage, Spleen, Splenic abscess, Splenic diseases, Ultrasound guidance",
author = "Giovanna Ferraioli and Enrico Brunetti and Rosario Gulizia and Giuseppe Mariani and Piero Marone and Carlo Filice",
year = "2009",
month = "7",
doi = "10.1016/j.ijid.2008.08.024",
language = "English",
volume = "13",
pages = "524--530",
journal = "International Journal of Infectious Diseases",
issn = "1201-9712",
publisher = "Elsevier",
number = "4",

}

TY - JOUR

T1 - Management of splenic abscess

T2 - report on 16 cases from a single center

AU - Ferraioli, Giovanna

AU - Brunetti, Enrico

AU - Gulizia, Rosario

AU - Mariani, Giuseppe

AU - Marone, Piero

AU - Filice, Carlo

PY - 2009/7

Y1 - 2009/7

N2 - Objectives: Splenic abscess is an uncommon disease, with a reported incidence of 0.14-0.7% in autoptic series. The best treatment option remains unclear. We report our experience of percutaneous drainage of splenic abscess under ultrasound (US) guidance. Methods: From 1979 to 2005, 16 consecutive patients (12 male and four female; mean age 39.9 years, range 16-72 years) were diagnosed with splenic abscess by means of US, and were treated with medical therapy alone or combined with US-guided percutaneous aspiration or catheter drainage. Results: Ten of 16 patients had bacterial abscesses (including one case of tubercular abscess), two had an amebic abscess, and four had fungal abscesses. Seven of ten patients with bacterial abscesses were successfully treated with fine needle aspiration alone, one patient was successfully treated with fine needle aspiration for one abscess and catheter drainage for another, and one patient, who subsequently required a splenectomy for an abdominal trauma, successfully underwent percutaneous catheter drainage alone. Four patients with fungal lesions were treated with medical therapy alone, and two patients later required a splenectomy. One patient with a bacterial abscess due to endocarditis was treated with medical therapy alone, and his recovery was uneventful. Conclusions: US-guided percutaneous aspiration of splenic abscesses is a safe and effective procedure. It can be used as a bridge to surgery in patients who are critically ill or have several comorbidities. Percutaneous aspiration may allow complete non-operative healing of splenic abscesses or temporize patients at risk for surgery.

AB - Objectives: Splenic abscess is an uncommon disease, with a reported incidence of 0.14-0.7% in autoptic series. The best treatment option remains unclear. We report our experience of percutaneous drainage of splenic abscess under ultrasound (US) guidance. Methods: From 1979 to 2005, 16 consecutive patients (12 male and four female; mean age 39.9 years, range 16-72 years) were diagnosed with splenic abscess by means of US, and were treated with medical therapy alone or combined with US-guided percutaneous aspiration or catheter drainage. Results: Ten of 16 patients had bacterial abscesses (including one case of tubercular abscess), two had an amebic abscess, and four had fungal abscesses. Seven of ten patients with bacterial abscesses were successfully treated with fine needle aspiration alone, one patient was successfully treated with fine needle aspiration for one abscess and catheter drainage for another, and one patient, who subsequently required a splenectomy for an abdominal trauma, successfully underwent percutaneous catheter drainage alone. Four patients with fungal lesions were treated with medical therapy alone, and two patients later required a splenectomy. One patient with a bacterial abscess due to endocarditis was treated with medical therapy alone, and his recovery was uneventful. Conclusions: US-guided percutaneous aspiration of splenic abscesses is a safe and effective procedure. It can be used as a bridge to surgery in patients who are critically ill or have several comorbidities. Percutaneous aspiration may allow complete non-operative healing of splenic abscesses or temporize patients at risk for surgery.

KW - Percutaneous drainage

KW - Spleen

KW - Splenic abscess

KW - Splenic diseases

KW - Ultrasound guidance

UR - http://www.scopus.com/inward/record.url?scp=67349240841&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=67349240841&partnerID=8YFLogxK

U2 - 10.1016/j.ijid.2008.08.024

DO - 10.1016/j.ijid.2008.08.024

M3 - Article

C2 - 19070526

AN - SCOPUS:67349240841

VL - 13

SP - 524

EP - 530

JO - International Journal of Infectious Diseases

JF - International Journal of Infectious Diseases

SN - 1201-9712

IS - 4

ER -