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©2006 Baishideng Publishing Group Co.
World J Gastroenterol. Dec 7, 2006; 12(45): 7341-7345
Published online Dec 7, 2006. doi: 10.3748/wjg.v12.i45.7341
Published online Dec 7, 2006. doi: 10.3748/wjg.v12.i45.7341
Table 1 Underlying pathology in patients with splenic abscess
Causes | n | % |
Pancreatitis | 8 | 22 |
Trauma | 8 | 22 |
Stomach surgery | 8 | 22 |
Deviscerated hydatid cyst | 2 | 6 |
Nephrectomia | 2 | 6 |
Liver cirrhosis | 1 | 3 |
Spleen infarction | 1 | 3 |
Unknown | 6 | 16 |
Table 2 Bacterial isolates in patients with splenic abscess
Microorganism | n | Isolated from | ||
Pus | Blood | Pus andblood | ||
Aerobes | ||||
Gram positive | ||||
Staphyloccocus aureus (SA) | 6 | 3 | 1 | 2 |
Streptoccocus viridans (SV) | 2 | 2 | 0 | 0 |
Enterococcus species | 2 | 2 | 0 | 0 |
Gram negative | ||||
Klebsiella pneumoniae (KP) | 6 | 4 | 1 | 1 |
Pseudomonas species | 5 | 1 | 1 | 3 |
Escherichia coli (EC) | 3 | 2 | 1 | 0 |
Gram positive + Gram negative SA + ECSV + KP | 3 2 | 2 2 | 1 0 | 0 0 |
Anaerobes Bacteroides fragilis | 1 | 1 | 0 | 0 |
Sterile culture | 6 | 0 | 0 | 0 |
Total | 36 | 19 | 5 | 6 |
Table 3 Type of treatment, hospital stay and number of surgeries prior to percutaneous treatment in patients with splenic abscess
Treatmentmethod | n | Hospitalstay (d) | Number of surgeries beforepercutaneous treatment | ||
One | Two | Three | |||
PNA | 11 | 9.4 ± 5.3 | 2 | 2 | 0 |
PNA/PCD | 8 | 16.6 ± 8.7 | 4 | 0 | 0 |
PCD x 1 | 9 | 23.9 ± 17 | 5 | 1 | 1 |
PCD x 2 | 6 | 32.5 ± 10 | 1 | 2 | 1 |
PCD > 2 | 2 | 39.1 ± 7.1 | 0 | 1 | 1 |
Total | 36 | 20.1 ± 14 | 12 | 6 | 3 |
Table 4 Type of treatment and outcome in patients with splenic abscess
Treatmentmethod | n | Outcome of treatment | |
Success | Death | ||
PNA | 11 | 10 | 1 |
PNA/PCD | 8 | 7 | 1 |
PCD x 1 | 9 | 81 | 1 |
PCD x 2 | 6 | 5 | 1 |
PCD > 2 | 2 | 2 | 0 |
Total | 36 | 32 | 4 |
- Citation: Zerem E, Bergsland J. Ultrasound guided percutaneous treatment for splenic abscesses: The significance in treatment of critically ill patients. World J Gastroenterol 2006; 12(45): 7341-7345
- URL: https://www.wjgnet.com/1007-9327/full/v12/i45/7341.htm
- DOI: https://dx.doi.org/10.3748/wjg.v12.i45.7341