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Splenic Abscess Complicating Infective Endocarditis: Three Case Reports
- Source :
- Acta Chirurgica Belgica. 107:720-723
- Publication Year :
- 2007
- Publisher :
- Informa UK Limited, 2007.
-
Abstract
- We present three case-reports of splenic abscess in patients who were initially diagnosed with bacterial endocarditis. In all cases the diagnosis of splenic abscess was based on the findings of abdominal CT scan or MRI. All patients were treated by laparotomy and splenectomy. Two patients fully recovered and one patient, who suffered from splenic rupture and massive blood loss before surgery, died. Splenic abscess is a well-described but rare complication of infective endocarditis. Rapid diagnosis and treatment are essential as its course can prove fatal. Abdominal CT scan or MRI should be performed if there is clinical suspicion of splenic abscedation. Immediate splenectomy combined with appropriate antibiotics and valve replacement surgery is the treatment of choice. Splenic tissue is very fragile - especially if the abscess is located subcapsular - and a splenic rupture can result from minimal trauma. If the patient's general state allows it, it is best to perform splenectomy prior to valve replacement surgery to prevent re-infection of the valve prosthesis. A combined one-stage procedure is also an option.
- Subjects :
- Adult
Male
medicine.medical_specialty
medicine.medical_treatment
Splenectomy
Fatal Outcome
Laparotomy
Humans
Medicine
Endocarditis
Splenic Infarction
Abscess
Aged
Splenic Diseases
business.industry
Splenic Rupture
General Medicine
Middle Aged
medicine.disease
Magnetic Resonance Imaging
Surgery
Aortic Valve
Infective endocarditis
Splenic infarction
Splenic Tissue
Radiology
Splenic disease
Tomography, X-Ray Computed
business
Subjects
Details
- ISSN :
- 00015458
- Volume :
- 107
- Database :
- OpenAIRE
- Journal :
- Acta Chirurgica Belgica
- Accession number :
- edsair.doi.dedup.....f02c2858d5fd48bb37c904e77d73fd7e