Changing clinical spectrum of splenic abscess

Thomas Gadacz, Lawrence W. Way, J. Englebert Dunphy

Research output: Contribution to journalArticle

Abstract

In two thirds the patients with splenic abscess, the infection develops as a terminal manifestation of uncontrolled disease of other organs. These patients often have multiple small abscesses that usually produce no special clinical manifestations. Even if the existence of splenic sepsis were known, splenectomy would not benefit most of these patients. In one third the patients, pain and tenderness in the left upper quadrant of the abdomen direct attention to the spleen as the source of sepsis. Diagnosis can be confirmed by splenic scanning or arteriography and the patient can be cured by splenectomy. Contiguous infection and intravenous drug abuse are the most common causes of these curable solitary abscesses.

Original languageEnglish (US)
Pages (from-to)182-187
Number of pages6
JournalAmerican Journal of Surgery
Volume126
Issue number2
DOIs
StatePublished - 1974
Externally publishedYes

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Abscess
Splenectomy
Sepsis
Intravenous Substance Abuse
Infection
Abdomen
Angiography
Spleen
Pain

ASJC Scopus subject areas

  • Surgery

Cite this

Changing clinical spectrum of splenic abscess. / Gadacz, Thomas; Way, Lawrence W.; Dunphy, J. Englebert.

In: American Journal of Surgery, Vol. 126, No. 2, 1974, p. 182-187.

Research output: Contribution to journalArticle

Gadacz, Thomas ; Way, Lawrence W. ; Dunphy, J. Englebert. / Changing clinical spectrum of splenic abscess. In: American Journal of Surgery. 1974 ; Vol. 126, No. 2. pp. 182-187.
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