孤立性脾膿瘍に対しエコーガイド下ドレナージが有効であった1例 [in Japanese] SUCCESSFUL ECHO-GUIDED DRAINAGE FOR SOLITARY SPLENIC ABSCESS-A CASE REPORT- [in Japanese]
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Splenic abscess is relatively uncommon, however, it has been increasingly diagnosed with an increase in the number of compromised hosts and with a widespreading use of more sophisticated medical imaging techniques. This paper presents a case of solitary abscess after operative ileus resolution in which echoguided needle drainage was effective. A 69-year-old man undergone a distal gastrectomy for early gastric cancer three months before was admitted to the hospital because of abdominal pain. He was diagnosed as having intestinal obstruction caused by adhesion. Conservative therapy was unsuccessful. A laparoscopic adhesiotomy was performed initially, but the small intestine was injured, therefore, we converted to an open laparotomy to perform lysis of the adhesion and a partial excision of the injured intestine. Fifteen days later he had a high fever. Computed tomography and ultrasonography demonstrated a cystic mass in the spleen. Under a diagnosis of splenic abscess, ech-oguided needle drainage was performed. Bacteroides fragilis was cultured in the pus. He recovered 28 days later. Percutaneous drainage for solitary splenic abscess is a safe and effective approach to conserve the spleen, that has a great value immunologically because immunosuppression after splenectomy for splenic abscess has been clarified.
- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 62(3), 800-803, 2001-03-25
Japan Surgical Association