Copyright
©2007 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Mar 14, 2007; 13(10): 1626-1627
Published online Mar 14, 2007. doi: 10.3748/wjg.v13.i10.1626
Published online Mar 14, 2007. doi: 10.3748/wjg.v13.i10.1626
Splenic abscess in a patient with fecal peritonitis
Spiros G Delis, Christos Dervenis, Liver Surgical Unit, First Department of Surgery, General Hospital “Konstantopoulio Agia Olga”, Agias Olgas 3-5, New Ionia 14233, Athens, Greece
Petros N Maniatis, Charikleia Triantopoulou, John Papailiou, Department of Computed Tomography, General Hospital “Konstantopoulio Agia Olga” Agias Olgas 3-5, New Ionia 14233, Athens, Greece
Author contributions: All authors contributed equally to the work.
Correspondence to: Petros Maniatis, MD, Department of Computed Tomography-Interventional Radiology, Konstantopoulio General Hospital, Agias Olgas 3-5, New Ionia 14233, Athens, Greece. pekatman@otenet.gr
Telephone: +30-210-2777288 Fax: +30-210-2756371
Received: November 21, 2006
Revised: December 20, 2006
Accepted: January 29, 2007
Published online: March 14, 2007
Revised: December 20, 2006
Accepted: January 29, 2007
Published online: March 14, 2007
Abstract
Splenic abscess is a rare entity normally associated with underlying diseases. We report a case of splenic abscess with large gas formation in a non-diabetic and non-immunosuppressed patient after surgery for colon perforation. The most frequent cause of splenic abscess is septic embolism arising from bacterial endocarditis. Splenic abscess has a high rate of mortality when it is diagnosed late. Computed tomography resolved any diagnostic doubt, and subsequent surgery confirmed the diagnosis.
Keywords: Splenic abscess, Colon perforation