Conservative management of isolated splenic abscess in children

Choudhury, Subhasis Roy; Debnath, Pinaki Ranjan; Jain, Parul; Kushwaha, Arvind Singh; Puri, Archana; Chadha, Rajiv; Pitamber, Sonker

doi:10.1016/j.jpedsurg.2009.10.074

Cited by 30 publications

(29 citation statements)

References 24 publications

(30 reference statements)

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“…It should be the first line of choice in treatment for both MSA and SSA. [11] The contraindications to percutaneous drainage include multi-loculated abscess, uncontrolled coagulopathy, poorly defined abscess on CT scan or ultrasonogram, hydatid cyst, inconvenient location such as upper pole and hilum and diffuse ascites. Duration of antibiotic therapy has not been well defined to treat multiple splenic abscesses.…”

Section: Discussionmentioning

confidence: 99%

“…This could be because of early initiation of antibiotics. Blood culture positivity is reported to be only 48% [13] and pus aspirate culture positivity to be 14-73% cases [6,11] in splenic abscess. Typhidot IgM test positivity has sensitivity of 92% and specificity of 87.5% in detecting enteric fever, whereas blood culture positivity in even uncomplicated enteric fever is 68%.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Multiple splenic abscesses in a child with enteric fever treated by percutaneous aspiration and antibiotics

Kanwal

Kaur

Kumar

2012

Ann Trop Med Public Health

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Multiple splenic abscesses are a condition associated with high mortality if there is delay in the diagnosis and initiation of specific treatment. Salmonella typhi as an etiological cause of multiple splenic abscesses is a distinct rarity. In the past treatment for splenic abscess including in enteric fever was splenectomy however; conservative treatment by percutaneous drainage is increasingly being reported for isolated splenic abscess and now for multiple splenic abscesses. We report a child with enteric fever who presented with multiple splenic abscesses and was successfully treated by percutaneous aspiration and antibiotics.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Multiple splenic abscesses in a child with enteric fever treated by percutaneous aspiration and antibiotics

Kanwal

Kaur

Kumar

2012

Ann Trop Med Public Health

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show abstract

“…In a retrospective study of 18 children with splenic abscesses, intravenous antibiotics were administered to all patients, and ten underwent PCD for the inclusionary threshold of an abscess diameter >3 cm. Clinical response was 100% [36]. Preservation of splenic function is maintained by the use of PCD techniques, and this should be attempted where possible and safe.…”

Section: Splenic and Hepatic Collections (See Variant 3)mentioning

confidence: 99%

ACR Appropriateness Criteria Radiologic Management of Infected Fluid Collections

Lorenz¹,

Al‐Refaie²,

Cash³

et al. 2015

Journal of the American College of Radiology

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“…Splenic abscesses (SAs) are rare. 57,58 Mechanisms of SA formation include hematogenous spread of infection, superinfection of splenic tissue injured by infarction or trauma, and contiguous spread from adjacent organs. Immunosuppression is an important risk factor.…”

Section: Spleenmentioning

confidence: 99%

“…60,61 Much of the published information regarding PAD of SAs in children consists of case reports, small case series, and adult case series that include occasional pediatric patients. 57,58,[60][61][62] In the past, percutaneous splenic interventions were largely avoided because of the perceived risk of hemorrhage and the spleen's proximity to the colon and diaphragm. 57,62 However, many authors have since published reports of successful percutaneous SA aspiration and catheter drainage in children and adults with low complication rates.…”

Section: Spleenmentioning

confidence: 99%