Open AccessNeumoperitoneo por absceso esplénico: un reto diagnóstico. Reporte de un caso
Author(s) -
Emilio Peña-Ros,
Marcelino Méndez-Martínez,
María Vicente-Ruiz,
Ángela Sánchez-Cifuentes,
Nuria Martínez-Sanz,
Antonio Albarracín Marín-Blázquez
Publication year - 2015
Publication title -
cirugía y cirujanos
Language(s) - Spanish
Resource type - Journals
eISSN - 2444-054X
pISSN - 0009-7411
DOI - 10.1016/j.circir.2015.05.044
Subject(s) - medicine , pneumoperitoneum , abscess , surgery , leukocytosis , laparotomy , splenectomy , laparoscopy , spleen
Splenic abscess is a rare clinic entity, its incidence has increased due to the rising number of clinical conditions involving immunosuppression. Endocarditis is the most frequent cause, and gram-positive aerobes are the main causal agents. Its clinical presentation is non-specific and delays diagnosis. Computed tomography scan is the method of choice, and the treatment is based on antibiotics and drainage, radiological or surgical, involving splenectomy in special cases that require it.