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Abstract

Highlight:

  1. A 26-year-old woman have sterile aerobic and anaerobic bacterial cultures.
  2. Pus and splenic tissue examination revealed no bacterial proliferation, while the surgery revealed a splenic abscess.


Abstract:

We presented a rare case, a 26-year-old woman have sterile aerobic and anaerobic bacterial cultures. Clinical examination of the patient showed a dense cystic mass in the left upper abdomen. Ultrasonography examination suspected a dermoid cyst. However, MRI examination of the abdomen showed turbid cystic lesions. The surgery revealed a splenic abscess, while pus and splenic tissue examination revealed no bacterial proliferation. Based on the literature, the patient had a good prognosis.

Keywords

Splenic abscess splenectomy woman health risk

Article Details

How to Cite
Pranata, A. K., & Danardono, E. D. (2021). Splenectomy for Aseptic Splenic Abscess. Folia Medica Indonesiana, 57(4), 334–340. https://doi.org/10.20473/fmi.v57i4.11121

References

  1. Abbasi S, Punni E, Fakhoury E, et al (2016). Surgical management of coexisting primary splenic abscess and lymphoma: Case report and review of literature. J CUrr Surg 6, 73-74.
  2. Bernabeu-Whitel M, Villanueva JL, Pachan J, et al (1999). Etiology, clinical features and outcome of splenic micro abscess in HIV infected patients with prolonged fever. Eur J Clin Microbiol Infect Dis 18, 324-329.
  3. Birkenmaier C, Reischl U, St¨ubinger B (2006). Sterile abscess: A surprise diagnosis?. Scandinavian Journal of InfectiousDiseases 38, 15-18.
  4. Brook I, Frazier H (1998). Microbiology of liver and spleen abscesses. J. Med. Microbiol 47, 1075-1080.
  5. Brooks J, Ghaffari G (2014). Aseptic splenic abscess as precursors extraintestinal manifestation of inflammatory bowel disease. Case Reports in Medicine 2014, 1-5.
  6. Calzado S, Navarro M, Puig I, et al. (2010). Splenic abscess as the first manifestation of Crohn's disease. Journal of Crohn's and Colitis 4, 703-704.
  7. Casciani F, Turdeau MT, Vollmer Jr CM (2020). Perioperative immunization for splenectomy and the surgeon's responsibility: A review. JAMA Surg 155, 1068-1077.
  8. Cash B, Horwhat J, Lee D, et al (2020). Endoscopy therapy of splenic abscess:definitive treatment via EUS-guided transgastric drainage. Gastro Endo 64, 631-634.
  9. Center for Disease Control and Prevention (2015). Vaccinations for adults without a spleen. Available from www.immunize.org/. Accessed August 4, 2020.
  10. Chang KC, Chuah SK, Changchien CS, et al (2008). Clinical characteristics and prognostic factors of splenic abscess:a review of 67 cases in a single medical center of Taiwan, World J Gastroenterol 12, 460-464.
  11. Chang KC, Chuah SK, Changchien CS, et al. (2006). Clinical characteristics and prognostic factors of splenic abscess: a review of 67 cases in a single medical center of Taiwan. World Journal of Gastroenterology 12, 460-464.
  12. Davidson RN, Wall RA (2001). Prevention and management of infections in patients without a spleen. Clin Microbiol Infect 7, 657-660.
  13. Fitzsimmons E, Torrico TJ, Bajaj T, et al (2020). Colonic adenocarcinoma presenting as splenic abscess secondary to suspected microperforation. Journal of Investigative Medicine High Impact Case Reports 8, 1-4.
  14. Fotiadis C, Lavranos G, Patapis P, et al (2008). Abscesses of the spleen: Report of three cases. World J Gastroenterol 14, 3088-3091.
  15. Haider J, Lutfullah G, ur Rehman I, et al (2019). Identification of risk factors for human immunodeficiency virus-1 infection in Khyber Pakhtunkhwa population: A case control study. Pakistan Journal of Medical Sciences 35, 1258-1263.
  16. Hamarayan P, Naraynsingh V, Hariharan S (2012). Splenic abscess arising from acute cholecystitis. Journal of the College of Physicians and Surgeons Pakistan 22, 252-254.
  17. Hirose K, Okabe H, Yoshizuma T, et al. (2016). A case report of bacteremia manifesting as an overwhelming postsplenectomy infection due to Streptococcus pneumoniae post vaccination. Surgical Case Reports 2, 1-3.
  18. Kaczorek-Åukowska E, MaÅ‚aczewska J, Wojcik R, et al (2021).
  19. Streptococci as the new dominant aetiological factors of mastitis in dairy cows in north-eastern Poland: analysis of the results obtained in 2013–2019. Irish Veterinary Journal 74, 1-6.
  20. Krokos N, Michailidou E, Karakatsanis A, et al. (2011). Splenic abscess. Hellenic Journal of Surgery 83, 148-152.
  21. Kusumaadhi ZM, Farhanah N, Sofro MAU (2021). Risk factors for mortality among HIV/AIDS patients. Diponegoro International Medical Journal 2, 20-29.
  22. Lal G, Clark OH (2015). Thyroid, parathyroid, and adrenal. In: Brunicardi FC, Andersen DK, Billiar TR, et al (eds). Schwartz's principles of surgery, 11e. McGraw Hill, New York.
  23. Lee M-C, Lee M, (2018). Splenic abscess: An uncommon entity with potentially life-threatening evolution. Canadian Journal of Infectious Diseases and Medical Microbiology 2018, 1-6.
  24. Lee WS, Choi ST, Kim KK (2011). Splenic abscess: A single institution study and review of the literature. Yonsei Med. J. 52, 288-292.
  25. Llenas-Garc´ıa J, Fern´andez-Ruiz M, Caurcel L, et al. (2009). Splenic abscess: A review of 22 cases in a single institution. European Journal of Internal Medicine 20, 537-539.
  26. McKinney ER (2012). Splenic abscess detection and monitoring using sonography. Journal of Diagnostic Medical Sonography 28, 168-172.
  27. McOwat L, Wong KF, Varughese GI, et al. (2014). Splenic abscess as a potential initial manifestation of quiescent infective endocarditis in a patient with bronchopneumonia. BMJ Case Reports 2015, 1-2.
  28. Mustafa M, Jayaram M (2004). Melioidosis: Clinical presentation in Sabah, Malaysia Sci Int Lahore 16, 39-41.
  29. Mustafa M, Menon J, Muniandy Rk, et al. (2015). Splenic abscess: Etiology, clinical spectrum and therapy. IOSR Journal of Pharmacy 5, 37-41.
  30. Nagem RG, Petroianu A (2009). Subtotal splenectomy for splenic abscess. Can J Surg 52, E91-E92.
  31. Okabayashi T, Hanazaki K (2008). Overwhelming postsplenectomy infection syndrome in adults - A clinically preventable disease. World Journal of Gastroenterology 14, 176-179.
  32. Ooi LL, Leong SS (1997). Splenic abscesses from 1987 to 1995, American Journal of Surgery 174, 87-93.
  33. Plummer JM, Gibson TN, Newnham MS, et al (2004). The management of isolated splenic abscess. West Indian Med J 53, 201-202.
  34. Sangchan A, Mootsikapun P, Mairiang P (2003). Splenic abscess: Clinical features, microbiologic finding, treatment and outcome. Journal of the Medical Association of Thailand 86, 436-441.
  35. Townsend C, Beauchamp DR, Evers BM, et al. (2016). Sabiston textbook of surgery. Elsevier, Netherlands.
  36. Yeo CJ (ed). (2018). Shackelford's surgery of the alimentary tract 8th ed. Elsevier, Philadelphia PA.
  37. Zavariz JD, Konstantatou E, Deganello A, et al (2017). Common and uncommon features of focal splenic lesions on contrast-enhanced ultrasound: A pictorial review. Radiologia Brasileira 50, 395-404.
  38. -404.