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Splenic abscess

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https://www.readbyqxmd.com/read/27891372/experience-with-splenic-abscess-from-southern-india
#1
Mallikarjuna Shetty, Swaroopa Deme, Knkj Mohan, Krishna Prasad Adiraju, Nageswar Rao Modugu, Naval Chandra, Amvr Narendra, Sathyanarayana Raju Yadati
INTRODUCTION: Splenic abscess is a rare entity with potentially life threatening complications. Sparse recent published data are available documenting the aetiological profile and management of patients with splenic abscess from India. AIM: To study the clinical profile of splenic abscess. MATERIALS AND METHODS: We retrospectively collected data from case records of admitted patients with splenic abscesses, to Nizam's Institute of Medical Sciences and Hospital which is a multispecialty, tertiary care referral hospital over a period of 15 months (from March 2014 to May 2015) and parameters studied were age, sex, symptoms, signs, risk factors, investigations like Ultrasound, CT scan, blood & microbiological culture, treatment and outcome...
October 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27757174/direct-needle-puncture-and-embolization-of-splenic-artery-pseudoaneurysm-in-case-of-chronic-atrophic-calcific-pancreatitis
#2
Amit Shrivastava, Jagadeesh Singh Rampal, D Nageshwar Reddy, Guduru Venkat Rao
BACKGROUND: Gastro-Intestinal bleeding remains a frequent clinical dilemma and common cause of hospitalization, morbidity and mortality. CASE REPORT: We report a case of pseudo aneurysm of splenic artery developed after an episode of acute on chronic pancreatitis which was treated by direct percutaneous puncture of pseudoaneurysm and embolization by coils. CONCLUSIONS: The aim was to preserve the main splenic artery and avoid the complications of splenic artery embolization like infarcts and abscess...
2016: Polish Journal of Radiology
https://www.readbyqxmd.com/read/27727772/an-unusual-presentation-of-tuberculosis-as-splenic-and-hepatic-abscesses
#3
Ashwin Kumar Panda, Rajeev Chawla, Hitesh Punyani
No abstract text is available yet for this article.
January 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27689116/splenic-abscess-due-to-fungal-infection-after-kidney-transplantation-a-case-report
#4
Tahereh Malakoutian, Maliheh Yarmohamadi, Ronak Mohammadi, Mojgan Asgari, Reyhaneh Mahmoodian
Splenic abscess is one of the rare and potentially life-threatening complications after kidney transplantation. Splenic abscess generally occurs in patients who have immunodeficiency state. It becomes more important with the increased use of immunosuppressed drugs and organ transplantation. The clinical presentation of splenic abscess is insidious, often with constitutional symptoms. Left upper quadrant tenderness is an uncommon sign. Therefore, its diagnosis is difficult and requires a high degree of clinical suspicion...
2016: Journal of Renal Injury Prevention
https://www.readbyqxmd.com/read/27662216/acute-appendiceal-abscess-and-atraumatic-splenic-rupture-a-case-of-dual-pathology
#5
Piriyankan Ananthavarathan, Kamlesh Patel, Catherine Doran, Nigel Suggett
INTRODUCTION: Atraumatic splenic rupture is a rare surgical emergency that is often attributed to neoplastic or infectious causes. Rarely, it has been identified to also occur in the setting of an acute severe sepsis and in cases of pelvic or splenic abscess formation post-appendicectomy. However, to our knowledge, the co-presentation of acute appendiceal abscess and splenic rupture has not been previously described. PRESENTATION OF CASE: We present the case of a 67-year old male with decompensating haemorrhagic shock secondary to atraumatic splenic rupture on a background of an inadequately treated complicated appendicitis originally managed as diverticulitis with antibiotics in the community...
April 13, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27661050/splenic-abscess-owing-to-cancer-at-the-splenic-flexure-a-case-report-and-comprehensive-review
#6
Gavish K Awotar, Fuwen Luo, Zhengdong Zhao, Guoxin Guan, Shili Ning, Jinshuai Ren, Yaqing Liu, Guangzhi Wang, Pixu Liu
BACKGROUND: The cancer of the splenic flexure of the colon is a rare medical entity with severe morbidity because of its insidious onset. METHODS: We present the case of a 59-year-old male patient with dull left upper quadrant pain, leukocytosis, and anemia. A splenic abscess described as an air-fluid level with splenocolic fistula was found on CT scan imaging. Surgery was done for splenic pus drainage. He was again admitted 2 months later for intestinal obstruction...
September 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27637597/skin-lesion-with-splenic-microabscesses-in-a-patient-with-acute-myeloid-leukemia
#7
Atul Kothari, Sara C Shalin, Juan Carlos Rico Crescencio, Mary J Burgess
No abstract text is available yet for this article.
December 2016: American Journal of Medicine
https://www.readbyqxmd.com/read/27635384/splenic-tuberculosis-in-a-patient-with-newly-diagnosed-advanced-hiv-infection
#8
B Tiri, L M Saraca, E Luciano, F R Burkert, S Cappanera, E Cenci, D Francisci
The extra-pulmonary tuberculosis (TB) constitutes to about 20% of all TB cases. Among extra-pulmonary form, splenic TB is very rare clinical condition especially as initial manifestation in a developed country. Diagnosis of splenic TB is challenging because it presents no specific symptoms or typical imaging findings and microbiological confirmation is not straight forward. We describe the case of a 55 year old Italian female with advanced HIV infection whose first AIDS clinical manifestation was a TB splenic abscess...
2016: IDCases
https://www.readbyqxmd.com/read/27630844/salmonella-typhi-splenic-abscess-following-blunt-abdominal-injury-a-case-report
#9
Priyadarshini Sharavanan, Dhivyalakshmi Shanmugam, Kennedy Kumar Palraj, Tessa Antony, Premamalini Thayanidhi
Splenic abscess as a complication of enteric fever due to Salmonella typhi is a rare entity. Here, we are presenting a case of splenic abscess caused by Salmonella typhi with a blunt injury to the abdomen as the predisposing factor. The patient underwent total splenectomy due to failure of conservative management. Splenic abscess is a potential life threatening disease if left untreated. In spite of its rarity, Salmonella typhi has to be considered as a possible pathogen causing the disease.
July 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27579206/subcutaneous-and-pulmonary-dirofilariasis-with-evidence-of-splenic-involvement
#10
Adarsha Selvachandran, Raymond J Foley
Cases of human dirofilariasis have been reported in several countries around the world, including a large number in the Atlantic and Gulf Coast regions of the United States. Most commonly, these cases have subcutaneous or pulmonary involvement; however, there have been few reports of dirofilariasis involving structures such as large vessels, mesentery, the spermatic cord, and liver. We present a case of an unusual presentation of human dirofilariasis presenting as a shoulder abscess and what is presumed to be pulmonary and splenic involvement in a 55-year-old female...
2016: Case Reports in Pulmonology
https://www.readbyqxmd.com/read/27549557/splenectomy-and-valve-replacement-in-patients-with-infective-endocarditis-and-splenic-abscesses
#11
Stefania Blasi, Andrea De Martino, Maurizio Levantino, Stefano Pratali, Gerardo Anastasio, Uberto Bortolotti
In patients with infective endocarditis (IE), splenic involvement is a rare but well-known adverse event. The treatment of patients with IE and splenic abscesses is still challenging and controversial. We report 3 patients with IE and splenic abscesses who underwent successful valve replacement and splenectomy. Our experience confirms that in such a patient, a valve operation combined with splenectomy can be performed with excellent results during the same hospitalization. The timing of splenectomy and the type of surgical approach should be based mainly on the stability of a patient's hemodynamic condition...
September 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27506202/guillaine-barre-syndrome-a-rare-complication-of-melioidosis-a-case-report
#12
P W M C S B Wijekoon, K A S Bandara, A Kailainathan, N S Chandrasiri, C T Hapuarachchi
BACKGROUND: Melioidosis caused by Burkholderia pseudomellei is an infection with protean clinical manifestations. Guillain-Barré syndrome [GBS] associated with melioidosis is very rare. CASE PRESENTATION: A 42-year-old woman with diabetes presented with abdominal pain, vomiting and intermittent fever for one month. Six months before presentation she had recurrent skin abscesses. Three months before presentation she had multiple liver abscesses which were aspirated in a local hospital...
2016: BMC Infectious Diseases
https://www.readbyqxmd.com/read/27456604/gastro-splenic-fistula-as-a-complication-of-chemotherapy-for-large-b-cell-lymphoma
#13
Sergio Gentilli, Alberto Oldani, Manuela Zanni, Erika Ferreri, Alfonso Terrone, Guido Valente, Pietro Occhipinti
AIM: Gastro-splenic fistula is a rare entity in which malignant tumors are the primary cause, followed by perforated peptic ulcers and Crohn's disease. CASE REPORT: A 66 years old patient undergoing chemotherapy for gastric large cells B lymphoma presented fever, fatigue and worsening of general conditions. A CT scan showed the presence of an abdominal abscess resulting from a pathological communication between stomach and spleen. RESULTS: En - bloc splenectomy and gastric wedge resection was performed; gastric wall was sutured with a linear stapler...
2016: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/27452934/laparoscopic-spleen-surgery-baia-mare-county-emergency-hospital-experience-romania
#14
Mihaela Leşe
BACKGROUND: Spleen surgery is a surgery without anastomosis and without the modification of the body's physiological circuits; therefore, the difference in the size of the incision between the laparoscopic and the open approach determines the main advantages of the laparoscopic surgery: small amounts of painkillers, reduced postoperative complication rate, low duration of hospitalization and reduced intra- and postoperative blood transfusion requirements. METHODS: Data from the medical records of 4 patients who underwent laparoscopic surgery were retrospectively analyzed...
May 2016: Chirurgia
https://www.readbyqxmd.com/read/27430944/a-delayed-splenic-rupture-after-transcatheter-arterial-embolization-required-total-splenectomy-in-a-patient-with-an-implantable-left-ventricular-assist-device
#15
Hiroto Kitahara, Kan Nawata, Osamu Kinoshita, Yoshifumi Itoda, Mitsutoshi Kimura, Haruo Yamauchi, Minoru Ono
We successfully managed a splenic injury and delayed splenic rupture in a patient with an implantable left ventricular assist device (iLVAD). A 42-year-old man with an iLVAD for idiopathic dilated cardiomyopathy was admitted to our department complaining of dizziness. Laboratory data showed severe anemia, and computed tomography demonstrated a traumatic splenic injury. Following conservative treatment, partial splenic embolization was performed. Fifteen days after the intervention, the patient went into hemorrhagic shock due to delayed splenic rupture...
July 18, 2016: Journal of Artificial Organs: the Official Journal of the Japanese Society for Artificial Organs
https://www.readbyqxmd.com/read/27408381/a-case-presenting-with-splenic-infarct-diagnosed-as-primary-bone-marrow-cd5-positive-dlbcl-a-clinicopathological-correlation
#16
Anupriya Bansal, Suchi Mittal, Jasmita Dass, Nitin Gupta, P K Agarwal, Jyoti Kotwal
De novo CD5+ Diffuse large B cell lymphoma (DLBCL) is a rare and aggressive subtype of DLBCL. It is a distinct clinicopathologic entity with complex molecular profile and poor prognosis. A 59 year old female presented with pyrexia of unknown origin since 1 month. On examination, there was severe pallor, hepatosplenomegaly and no palpable lymphadenopathy. Complete blood count revealed bicytopenia with normal total leucocyte count. Liver and renal function tests were normal. Ultrasonography abdomen revealed splenic enlargement with two focal lesions attributed to either splenic abscess or infarcts...
June 2016: Indian Journal of Hematology & Blood Transfusion
https://www.readbyqxmd.com/read/27341543/small-bowel-tuberculosis-a-comparative-study-of-mr-enterography-and-small-bowel-follow-through
#17
Satheesh Krishna, Naveen Kalra, Paramjeet Singh, Rakesh Kochhar, Rajesh Gupta, Rajinder Singh, Niranjan Khandelwal
OBJECTIVE: The purpose of this article is to describe the MR enterographic findings of small-bowel tuberculosis (TB) and to compare the imaging findings of small-bowel follow-through (SBFT) with those of MR enterography. SUBJECTS AND METHODS: Thirty patients (20 male and 10 female) presenting with suspected intestinal TB were enrolled in this prospective study. MR enterography and SBFT were performed within 2 weeks of each other. RESULTS: Nineteen of the 30 patients were confirmed to have TB...
September 2016: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/27318859/splenectomy-for-e-coli-abscess-a-case-report-with-a-difficult-preoperative-diagnosis-and-unclear-pathogenesis
#18
Marco Casaccia, Simona Macina, Rosario Fornaro, Marco Frascio, Tommaso Testa, Cesare Stabilini, Ezio Gianetta
INTRODUCTION: Isolated splenic abscess is a rare clinical condition and remains a diagnostic dilemma. Clinical presentation is non-specific and the diagnosis is often delayed. Ultrasonography and CT scan are the gold standard. The treatment is still controversial: antibiotic therapy, percutaneous drainage (PCD) or splenectomy. CASE PRESENTATION: We present the clinical case of a patient, admitted to our Department because of abdominal pain, without fever. The preoperative radiological assesment showed three intrasplenic liquid collections, whose differential diagnosis was made between hematic collection and abscess...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27306445/splenic-abscess-complicated-by-gastrosplenic-fistula
#19
Ira L Leeds, Elliott R Haut, Carlton C Barnett
No abstract text is available yet for this article.
September 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27244960/hepatic-lymphoma-and-splenic-aspergillosis-mimicking-hepatosplenic-abscesses-from-melioidosis-in-thailand
#20
Kittiyod Poovorawan, Aung Myint Thu, Maleerat Sutherat, Weerapong Phumratanaprapin, Naruemon Wisedopas, Viravarn Luvira, Wirongrong Chierakul
We report here a case of hepatic lymphoma and splenic aspergillosis in an elderly patient with diabetes mellitus, exhibiting hepatosplenic abscesses mimicking melioidosis. Immunohistochemistry confirmed the diagnosis of a diffuse hepatic large B-cell lymphoma. Biopsy of the spleen revealed a clump of fungus with a slender shape and dichotomous branching, morphologically consistent with aspergillosis. Hepatosplenic abscesses are a common presentation in melioidosis, but this case reveals this assumption can lead to misdiagnosis...
March 2016: Southeast Asian Journal of Tropical Medicine and Public Health
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