Invasive Management of Abscess Due to Splenic Infarct: A Retrospective Analysis of Thirteen Cases
Journal Title: The Medical Bulletin of Haseki - Year 2019, Vol 57, Issue 4
Abstract
Aim: Splenic infarction is a rare condition successfully treated with medical methods in general. The aim of this study was to evaluate the invasive treatment options in patients with splenic infarction-associated abscess. Methods: Files of thirteen patients, who underwent percutaneous drainage or a surgical procedure due to abscess as a result of splenic infarction, were retrospectively reviewed. Age symptoms, results of physical and radiological examinations and therapeutic methods were analyzed. Results: A total of 13 patients with the mean age of 56±18 years were included in the study. Seven (54%) patients were female and six (46%) were male. Acute abdomen was observed in 11 patients (85%), and acute abdomen as well as high white blood cell (WBC) count (>15000/mL) in nine patients (70%). Percutaneous drainage was performed in five patients (39%) and splenectomy in eight patients (62%), all of whom were diagnosed with splenic abscess by means of computed tomography. There was no difference in age, gender, acute abdomen, WBC count, platelet count and mortality between patients who underwent splenectomy and percutaneous drainage group, whereas in the splenectomy group, the number of associated diseases was higher and the length of hospital stay was longer (p=0.017 and p=0.011, respectively). Conclusion: Percutaneous drainage and, when necessary, splenectomy should be performed in patients who develop abscess as a result of splenic infarct, whose general health conditions deteriorates and whose symptoms do not improve and who have high WBC count despite medical treatment.
Authors and Affiliations
Harun Karabacak, Selim Tamam, Şener Balas, Serhat Tokgöz, Kerim Bora Yılmaz, Melih Akıncı, Onur Ergün, Hasan Ali Durmaz, Metin Aydın, Muzaffer Akkoca, Cem Azılı
Keywords
Related Articles
- EP ID EP675942
- DOI 10.4274/haseki.galenos.2019.5268
- Views 161
- Downloads 0
The Importance of Colposcopic Biopsy in Cervical Smear Pathologies Colposcopic Biopys in Cervical Screening
Aim: To evaluate the results of colposcopy-guided biopsy in patients diagnosed with low- and high-grade cervical intraepithelial neoplasia (CIN) identified by Pap smear test. Methods: A total of 102 patients with low- a...
The Role of Whole-blood Parameters in Predicting the Severity of Acute Rheumatic Carditis in Children
Aim: Acute rheumatic fever (ARF) is the most common cause of acquired heart disease especially in developing countries. This study is intended to evaluate the relationship between severity of cardiac involvement and hema...
Evaluation of the Relationship Between Thyroid Dysfunction and Menstrual Migraine in Adult Females
Aim: Menstrual migraine (MM) is a condition linked to sudden estrogen withdrawal, however, changes in vascular system and neurotransmitters and several hormones are thought to be the underlying causes. Thyroid function a...
Urological Complications and Management After Gynecological Operations
Aim: We aimed to evaluate the urological complications of gynecologic operations in a tertiary academic center and to evaluate the methods of treatment of these complications. Methods: Files of all patients, who underwe...
Efficacy and Safety of Percutaneous Endoscopic Gastrostomy in Elderly Patients Aged Over 65: A Tertiary Center Long-term Results
Aim: Percutaneous endoscopic gastrostomy (PEG) is a method that can be applied for nutritional purposes in patients who cannot be fed orally for various reasons but whose gastrointestinal system functions are normal. In...