Management of splenic abscess in children by percutaneous drainage

Choudhury, Subhasis Roy; Chadha, Ritu; Pitamber, Sonker; Sharma, Alok; Dharmendra, Singh

doi:10.1016/j.jpedsurg.2005.10.085

Cited by 28 publications

(17 citation statements)

References 25 publications

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“…Spleen has a vital role in the immunologic function; hence splenectomised patients have a higher incidence of infections and post-operative morbidity. Though splenic abscesses are currently managed primarily by percutaneous drainage, splenectomy still has a major role to play [9,10].…”

Section: Discussionmentioning

confidence: 99%

A Retrospective Study of 75 Cases of Splenic Abscess

et al. 2011

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Splenic abscess is an uncommon and lifethreatening condition. Due to its nonspecific clinical picture, it remains a diagnostic challenge. Multiple radiological modalities are used for the diagnosis. In this retrospective study we analyzed 75 patients treated between 1999 and 2009. The patients were divided into three groups depending on the treatment received. Group I (n=14) consisted of patients treated with only antibiotics, Group II (n=19) patients were treated with percutaneous drainage and Group III (n=42) with splenectomy. We tried to establish epidemiologic and clinical features and therapeutic options in splenic abscess. Our study suggests that percutaneous drainage is a safe and effective alternative to surgery especially in unilocular or bilocular abscesses thus allowing preservation of the spleen. It should be considered as the first line of treatment although splenectomy remains the final definitive procedure if percutaneous drainage fails.

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Section: Discussionmentioning

confidence: 99%

A Retrospective Study of 75 Cases of Splenic Abscess

et al. 2011

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“…patients [10] because only anecdotal case reports or small case series of SA in children have been reported in the literature [11]. We present our experience with 18 children with SA from a single institution who were successfully managed by administration of intravenous broad-spectrum antibiotics and percutaneous aspiration of the SA.…”

mentioning

confidence: 99%

Conservative management of isolated splenic abscess in children

Choudhury

Debnath

Jain

et al. 2010

Journal of Pediatric Surgery

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“…17 In addition, Choudhury et al reported that percutaneous drainage was performed in 4 pediatric patients between 7 and 11 years of age, in whom splenectomy was therefore avoided. 18 In recent studies, there have no differences in mortality between the treatments of splenectomy, drainage/aspiration, and intravenous antibiotics alone, but marginally better outcomes have been reported in patients with splenectomy than in patients with drainage/aspiration. 4 In contrast, salvage splenectomy after failure of conservative treatment (drainage and antibiotics) has not significantly increased mortality when compared with splenectomy as initial therapy.…”

Section: Discussionmentioning

confidence: 98%