A Case Report of Isolated Splenic Abscess -Treated with Successful Percutaneous Drainage under Echoguidance-

Kanji Ishihara, Tadashi Yamada, Norio Suzuki, Masataka Eirai, Akitoshi Tokuyama, Hirokazu Fujii, Kiyoaki Naitou*

Department of Surgery and Department of Medicine*, Ishikiriseiki Hospital

Isolated splenic abscess is relatively uncommon since the development of antibiotic therapy. However, multiple splenic abscess is increasing with the progress of anti-cancer chemotherapy and medical imaging techniques. An 18-year-old female patient was admitted to our hospital with high fever and left hypochondric pain. Computed tomography and ultrasonography demonstrated a huge cystic mass in the left subphrenic space. After making the diagnosis of splenic abscess by echo-guided needle aspiration, we introduced a drainage tube into the abscess vavity. She recovered 24 days later. In the Japanese literature since 1948, we collected 31 cases of isolated splenic abscess. Only 4 of them were successfully treated with echo-guided percutaneous drainage. As in our case, percutaneous drainage under echo guidance seems to be a safe and effective treatment for isolated splenic abscess.

Key words
isolated splenic abcess, echo-guided percutaneous drainage

Reprint requests
Kanji Ishihara Department of Surgery, Ishikiriseiki Hospital
18-28 Yayoicho, Higashiosaka City, 579 JAPAN

Accepted
July 6, 1994

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