[Abscesses of the spleen. Value of echoguided percutaneous drainage apropos of 4 new cases]
- PMID: 7860676
[Abscesses of the spleen. Value of echoguided percutaneous drainage apropos of 4 new cases]
Abstract
Curative treatment in 4 patients with splenic abscesses was obtained after echoguided percutaneous drainage. An analysis of the literature from 1986 to 1992 revealed that both splenectomy (87 cases) and percutaneous drainage (47 cases) have had their indications. This could appear rather surprising since that in 1986 several reports had already indicated the safety and effectiveness of percutaneous drainage which leads to cure in 70% of the cases and reduces both the cost of the surgical procedure and he long-term risks of splenectomy. The analysis of the recent literature would suggest, with certain reservations related to the nature of this type of analysis, that percutaneous drainage is a superior technique compared with splenectomy. Mortality reported after splenectomy was high (14%) compared with mortality after percutaneous drainage (2%) (1 out of 47 cases). Percutaneous drainage was unsuccessful in 5 patients (11%) who then underwent successful splenectomy. Global cure rate for percutaneous drainage alone was 87%. Based on the results of this analysis of the data in the literature, and on our own personal experience, we conclude that splenectomy should be performed only exceptionally for splenic abscesses, usually in cases with multifocal abscesses or complicated with rupture.
Similar articles
-
[Splenic abscesses: 6 cases in 15 years].Chir Ital. 2002 Jul-Aug;54(4):517-25. Chir Ital. 2002. PMID: 12239762 Italian.
-
[Percutaneous ultrasound controlled drainage of large splenic abscesses].Chirurg. 1997 Jul;68(7):744-8. doi: 10.1007/s001040050265. Chirurg. 1997. PMID: 9340244 Review. German.
-
Ultrasound-guided percutaneous drainage of pyogenic splenic abscesses.J Clin Ultrasound. 1994 Mar-Apr;22(3):161-6. doi: 10.1002/jcu.1870220303. J Clin Ultrasound. 1994. PMID: 8169235
-
[Ultrasonically-guided percutaneous puncture and drainage of a splenic abscess caused by Salmonella heidelberg in a child].Klin Padiatr. 1992 Jan-Feb;204(1):56-60. doi: 10.1055/s-2007-1025323. Klin Padiatr. 1992. PMID: 1740903 Review. German.
-
Splenic abscess: is conservation applicable?Br J Clin Pract. 1992 Winter;46(4):274-5. Br J Clin Pract. 1992. PMID: 1290743
Publication types
MeSH terms
LinkOut - more resources
Medical