AB156. SOH24AB_273. Primary splenic abscess in an immunocompetent adult female patient: a case report
General Poster Session

AB156. SOH24AB_273. Primary splenic abscess in an immunocompetent adult female patient: a case report

Burce Isik1,2, Matthew Davey2, Sarah Gaffney3, Javier Mohigefer4, Efthymios Koutroumanos2, Patrick Stapleton5

1University of Limerick School of Medicine, University Hospital Limerick, Limerick, Ireland; 2Department of Surgery, University Hospital Limerick, Dooradoyle, Limerick, Ireland; 3Department of Anaesthesia and Intensive Care, University Hospital Limerick, Limerick, Ireland; 4Department of Histopathology, University Hospital Limerick, Limerick, Ireland; 5Department of Microbiology, University Hospital Limerick, Limerick, Ireland

Background: Primary splenic abscess is rare and typically present in patients who are immunocompromised. We present a case of a 47-year-old immunocompetent female patient who was diagnosed with primary splenic abscess following emergency laparotomy.

Case Description: A 47-year-old female patient presented with subjective fevers and severe epigastric and left flank pain. She treated empirically with intravenous piperacillin/tazobactam and gentamycin and resuscitated with intravenous crystalloid infusion. A radiological diagnosis of splenic infarct secondary to splenic artery aneurysm with superimposed splenic abscess was presumed, however at emergency laparotomy, primary splenic abscess was identified. This abscess had eroded the left hemidiaphragm and ruptured the splenic capsule, leading to intraabdominal pus in the pelvis. A splenectomy and primary repair of the left hemidiaphragm was performed, with postoperative pancreatitis diagnosed following the procedure. After intensive care treatment, this patient made a full recovery.

Conclusions: In accordance with ‘gold standard’ recommendations, this case of primary splenic abscess was treated successfully with a combination of surgery (i.e., splenectomy and surgical drainage), robust antimicrobial therapy, and meticulous intensive care in the perioperative period.

Keywords: Primary splenic abscess; splenic infarct; laparotomy; splenectomy; acute abdomen

Acknowledgments

Funding: None.

Footnote

Conflicts of Interest: The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

doi: 10.21037/map-24-ab156
Cite this abstract as: Isik B, Davey M, Gaffney S, Mohigefer J, Koutroumanos E, Stapleton P. AB156. SOH24AB_273. Primary splenic abscess in an immunocompetent adult female patient: a case report. Mesentery Peritoneum 2024;8:AB156.

Article Options

Download Citation

Share