Research Article

Splenic Abscess: An Uncommon Entity with Potentially Life-Threatening Evolution

Table 1

Demographic characteristics, treatment, and outcome for patients with splenic abscess.

Case numberSexAge (years)Predisposing factorsNumber of abscessesMicrobiological etiologyTreatmentOutcome

1F71Biliary liver cirrhosis, gallstone s/p cholecystectomy, acute pancreatitisSingleAlpha-Streptococcus species (blood)ATRecovered
2M75HTN, infectious endocarditisTwo mixed echoic nodules (2.0 × 2.8 cm and 3.9 × 2.1 cm)Beta-Streptococcus non-ABD (blood)ATRecovered
3M67HTN, ESRD, bladder urothelial carcinoma, high grade s/p TURBT, with recurrence s/p robotic radical cystoprostatectomy, acute pancreatitisSingle (4.3 × 1 cm in size)ESBL-producing Escherichia coli (blood), Enterococcus faecium (blood)ATDied
4M32Chronic pancreatitis with pancreatic duct dilatation and pancreatic stonesSingle (2.9 cm)Not identifiedATRecovered
5F82Liver cirrhosis, malignant neoplasm of intrahepatic bile ducts, postcholecystectomySingle (10 × 3 cm)Beta-Streptococcus non-ABD (blood)PD + ATRecovered
6F51DM, hyperthyroidism, valvular heart disease, congestive heart failure, infective endocarditisSingle (5.0 × 4.0 cm)Coagulase (−) Staphylococcus (MS-CNS) (blood × 3 sets)PD + ATRecovered
7M48AIDS (CD4 count: 59 cells/µL, viral load: 308 copies/mL), anal abscess and anal fistulaSingle (4.8 cm wedge)Not identifiedPD + ATRecovered
8F43Peptic ulcer, duodenitis, chronic hepatitis BMultipleKlebsiella pneumoniae (liver abscess)ATRecovered
9M49AIDS (CD4 count: 20 cells/µL, viral load: 21,46,000 copies/mL)MultipleMycobacterium avium complex (culture at bone marrow biopsy)ATDied
10F77Chronic liver disease, DM, HTNMultiple (a 10 cm abscess with smaller abscesses)Enterococcus species (abscess)LS + ATRecovered
11M48DM, HTN, pancreatitisThree (2.4, 1.22, 1 cm)Not identifiedATRecovered
12M31DM, alcoholism, chronic hepatitis B, chronic pancreatitisMultipleNot identifiedATRecovered
13F81DM, HTN, ESRD, valvular heart diseaseMultipleNot identifiedATRecovered
14F42CholangitisThreeMycobacterium tuberculosis complex (lung tissue, sputum)ATRecovered
15M1 dPrematurity (GA 33 + 6 weeks, BBW 2208 gm), PPROM 10 days s/p complete IAP, necrotizing enterocolitisMultipleCandida parapsilosis (blood)Antifungal agentsRecovered
16F2Acute gastroenteritisSingle (11.57 × 8.74 × 12.27 cm)Salmonella group B (abscess, blood)PD + ATRecovered

LS: laparoscopic splenectomy; AT: antimicrobial therapy; PD: percutaneous drainage; DM: diabetes mellitus; ESRD: end-stage renal disease; AIDS: acquired immune deficiency syndrome; PPROM: preterm premature rupture of membranes.