Foreign body punctured the spleen: An incidental diagnosis

İnal-Aslan, Gizem; Ötgün, İbrahim; Güney, Lütfi Hakan; Hiçsönmez, Akgün

doi:10.24953/turkjped.2017.01.019

Cited by 3 publications

(1 citation statement)

References 13 publications

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“…Penetration of a solid organ by a foreign body is a well-documented phenomenon, though remains uncommon in everyday practice [ 1–5 ]. With regard to the spleen, there have been three cases of foreign body impaction reported [ 1 , 2 , 5 ]; all in a paediatric cohort after direct ingestion. The case hereafter is the first instance of a splenic foreign body in an adult and associated sepsis, highlighting the perils of foreign body impaction and the risk–benefit dichotomy of surgical intervention.…”

Section: Introductionmentioning

confidence: 99%

Needle in a haystack: a case report of splenic foreign body-associated sepsis

Turner

Barnacle²,

Sheth

2021

Journal of Surgical Case Reports

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Instances of foreign bodies impacted in solid organs are rare, and rarer still are reports of objects in the spleen. A 42-year-old presented septic with abdominal pain, high inflammatory markers and haemodynamic instability. She was found to have a splenic haematoma and a 4-cm hyperdense foreign body within the spleen. Ultrasound-guided drainage of the haematoma isolated Streptococcus anginosus and conservative management with intravenous antibiotics avoided the need for emergency splenectomy. The bacterium isolated was the same cultured 9 months previously from the patient’s empyema fluid. The origin of the foreign body was not identified, though is made of metal and pre-dates any hospital admissions. The case raised the question of how an object might penetrate the spleen without knowledge of the patient and highlighted the risks of foreign body-associated sepsis, the risks and benefits of emergency splenectomy and management of complex cases with paucity of evidence.

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