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Splenic abscess

MedGen UID:
124428
•Concept ID:
C0272412
•
Disease or Syndrome
Synonyms: Abscess of spleen; Spleen abscess; Splenic Abscess; splenic abscess; splenic abscess (disease)
SNOMED CT: Abscess of spleen (82053000); Splenic abscess (82053000); Spleen abscess (82053000)
 
HPO: HP:0025059
Monarch Initiative: MONDO:0002333

Definition

A circumscribed area of pus or necrotic debris in the parenchyma of the spleen. [from HPO]

Professional guidelines

PubMed

Utility of stent-in-stent technique in management of post-pancreatitis splenic abscess using forward-viewing echoendoscope.
Elshair M, Hara K, Kuwahara T, Okuno N, Haba S, Soliman G, Massoud A
J Hepatobiliary Pancreat Sci 2021 Sep;28(9):e40-e41. Epub 2021 Jun 25 doi: 10.1002/jhbp.1002. PMID: 34053195
Splenic Abscess: Characterizing Management and Outcomes for a Rare Disease.
O'Connor LF, Buonpane CL, Walker CW, Blansfield JA, Widom KA, Torres DM, Wild JL, Young KA
Am Surg 2020 Mar 1;86(3):e130-e133. PMID: 32223819
Splenic abscess: pathogenesis, clinical features, diagnosis, and treatment.
Allan JD
Curr Clin Top Infect Dis 1994;14:23-51. PMID: 8086119

Recent clinical studies

Etiology

Bedside ultrasonography for rapid detection of splenic abscess in melioidosis.
Chang CY
Rev Soc Bras Med Trop 2023;56:e0097. Epub 2023 Jun 2 doi: 10.1590/0037-8682-0097-2023. PMID: 37283349Free PMC Article
Splenic Abscess: Characterizing Management and Outcomes for a Rare Disease.
O'Connor LF, Buonpane CL, Walker CW, Blansfield JA, Widom KA, Torres DM, Wild JL, Young KA
Am Surg 2020 Mar 1;86(3):e130-e133. PMID: 32223819
Splenic Artery Aneurysm in Pregnancy.
Parrish J, Maxwell C, Beecroft JR
J Obstet Gynaecol Can 2015 Sep;37(9):816-818. doi: 10.1016/S1701-2163(15)30153-5. PMID: 26605452
Multi-valvular endocarditis.
Kim N, Lazar JM, Cunha BA, Liao W, Minnaganti V
Clin Microbiol Infect 2000 Apr;6(4):207-12. doi: 10.1046/j.1469-0691.2000.00065.x. PMID: 11168109
Splenic abscess.
Alonso Cohen MA, Galera MJ, Ruiz M, Puig la Calle J Jr, Ruis X, Artigas V, Puig la Calle J
World J Surg 1990 Jul-Aug;14(4):513-6; discussion 516-7. doi: 10.1007/BF01658678. PMID: 2200213

Diagnosis

Evaluating Patients with Left Upper Quadrant Pain.
Ecanow JS, Gore RM
Radiol Clin North Am 2015 Nov;53(6):1131-57. doi: 10.1016/j.rcl.2015.06.003. PMID: 26526430
Splenic abscess: pathogenesis, clinical features, diagnosis, and treatment.
Allan JD
Curr Clin Top Infect Dis 1994;14:23-51. PMID: 8086119
Amoebic splenic abscess.
Mujahid S, Ahmed A, Siddiqui MN
Trop Doct 1993 Jul;23(3):136-8. doi: 10.1177/004947559302300323. PMID: 8356752
Splenic abscess.
Gadacz TR
World J Surg 1985 Jun;9(3):410-5. doi: 10.1007/BF01655275. PMID: 3892934
Fungal splenic abscess.
Johnson JD, Raff MJ
Arch Intern Med 1984 Oct;144(10):1987-93. PMID: 6385895

Therapy

Aseptic Splenic Abscess and Sweet Syndrome.
Johnson K, Sadik K
J Am Osteopath Assoc 2016 May 1;116(5):330. doi: 10.7556/jaoa.2016.070. PMID: 27111793
Complicated typhoid fever.
Chakraborty PP, Bhattacharjee R, Bandyopadhyay D
J Assoc Physicians India 2010 Mar;58:186-7. PMID: 20848818
Splenic abscess.
Ooi LL, Nambiar R, Rauff A, Mack PO, Yap TL
Aust N Z J Surg 1992 Oct;62(10):780-4. doi: 10.1111/j.1445-2197.1992.tb06917.x. PMID: 1445057
Splenic abscess.
Alonso Cohen MA, Galera MJ, Ruiz M, Puig la Calle J Jr, Ruis X, Artigas V, Puig la Calle J
World J Surg 1990 Jul-Aug;14(4):513-6; discussion 516-7. doi: 10.1007/BF01658678. PMID: 2200213
Splenic embolization.
Spigos DG, Tan WS, Mozes MF, Pringle K, Iossifides I
Cardiovasc Intervent Radiol 1980;3(4):282-7. doi: 10.1007/BF02552744. PMID: 7459922

Prognosis

Complicated typhoid fever.
Chakraborty PP, Bhattacharjee R, Bandyopadhyay D
J Assoc Physicians India 2010 Mar;58:186-7. PMID: 20848818
Splenic abscess.
Kaushik R, Sharma R
Trop Doct 2002 Oct;32(4):246-7. doi: 10.1177/004947550203200429. PMID: 12405319
Multi-valvular endocarditis.
Kim N, Lazar JM, Cunha BA, Liao W, Minnaganti V
Clin Microbiol Infect 2000 Apr;6(4):207-12. doi: 10.1046/j.1469-0691.2000.00065.x. PMID: 11168109
Splenic abscess: pathogenesis, clinical features, diagnosis, and treatment.
Allan JD
Curr Clin Top Infect Dis 1994;14:23-51. PMID: 8086119
Splenic abscess.
Alonso Cohen MA, Galera MJ, Ruiz M, Puig la Calle J Jr, Ruis X, Artigas V, Puig la Calle J
World J Surg 1990 Jul-Aug;14(4):513-6; discussion 516-7. doi: 10.1007/BF01658678. PMID: 2200213

Clinical prediction guides

Splenic Artery Aneurysm Management in the Cirrhotic Patient Listed for Liver Transplantation: A Systematic Review.
Phan D, Furtado R, Laurence JM, Pleass H
Transplant Proc 2022 Apr;54(3):706-714. Epub 2022 Mar 8 doi: 10.1016/j.transproceed.2022.01.031. PMID: 35272877
Hepatic/splenic abscess and/or skin and soft tissue infection as predictors of melioidosis in children.
Chanvitan S, Geater A, Laoprasopwattana K
J Infect Dev Ctries 2019 Feb 28;13(2):149-153. doi: 10.3855/jidc.10727. PMID: 32036350
Infantile splenorenopancreatic mucormycosis complicating neuroblastoma.
Ebadi M, Alavi S, Ghojevand N, Aghdam MK, Yazdi MK, Zahiri A
Pediatr Int 2013 Dec;55(6):e152-5. doi: 10.1111/ped.12182. PMID: 24330301
Splenic abscess: diagnosis and management.
Ng KK, Lee TY, Wan YL, Tan CF, Lui KW, Cheung YC, Cheng YF
Hepatogastroenterology 2002 Mar-Apr;49(44):567-71. PMID: 11995499
Splenic abscess.
Alonso Cohen MA, Galera MJ, Ruiz M, Puig la Calle J Jr, Ruis X, Artigas V, Puig la Calle J
World J Surg 1990 Jul-Aug;14(4):513-6; discussion 516-7. doi: 10.1007/BF01658678. PMID: 2200213

Recent systematic reviews

Post-Bariatric Splenic Complications; Diagnosis and Treatment. A Systematic Review.
Mousavimaleki A, Amr B, Taherzadeh M, Rokhgireh S, Setaredan SA, Kermansaravi M
Obes Surg 2022 Sep;32(9):3125-3137. Epub 2022 Jul 1 doi: 10.1007/s11695-022-06190-x. PMID: 35778627
Splenectomy versus Imaging-Guided Percutaneous Drainage for Splenic Abscess: A Systematic Review and Meta-Analysis.
Gutama B, Wothe JK, Xiao M, Hackman D, Chu H, Rickard J
Surg Infect (Larchmt) 2022 Jun;23(5):417-429. Epub 2022 May 24 doi: 10.1089/sur.2022.072. PMID: 35612434Free PMC Article
Splenic Artery Aneurysm Management in the Cirrhotic Patient Listed for Liver Transplantation: A Systematic Review.
Phan D, Furtado R, Laurence JM, Pleass H
Transplant Proc 2022 Apr;54(3):706-714. Epub 2022 Mar 8 doi: 10.1016/j.transproceed.2022.01.031. PMID: 35272877
Splenic Abscess Complicating Bariatric Surgery : A Systematic Review.
Buksh MM, Tallowin S, Al Samaraee A
Am Surg 2022 Jan;88(1):28-37. Epub 2021 Mar 11 doi: 10.1177/0003134821991971. PMID: 33703937
Splenic Abscess Following Sleeve Gastrectomy: A Systematic Review of Clinical Presentation and Management Methods.
Sakran N, Zakeri R, Madhok B, Graham Y, Parmar C, Mahawar K, Arhi C, Shah K, Pouwels S; Global Bariatric Research Collaborative
Obes Surg 2021 Jun;31(6):2753-2761. Epub 2021 Apr 1 doi: 10.1007/s11695-021-05396-9. PMID: 33791929

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