PEDIATRICS Vol. 79 No. 6 June 1987, pp. 1029-1031
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Percutaneous Drainage of Splenic Abscess: Case Report and Review of Literature

MANNACHANALLUR R. RAMAKRISHNAN MD1, T. K. PARTHA SARATHY MD, FACS1, and MANI BALU MD1

1 Departments of Radiology, of Surgery, and Pediatrics, Big Stone Gap Clinic/Lonesome Pine Hospital, Big Stone Gap, VA

Splenic abscess is an uncommon entity, reported in 0.14% to 0.70% of several autopsy series. Untreated, the mortality approaches 100%.1 When the diagnosis is made preopenatively and treated by antibiotics and splenectomy, there is a 17% mortality, but preoperative diagnosis was made only in 33% of the cases in one review.2 High degree of clinical awareness and aggressive diagnostic approach are essential for early diagnosis. percutaneous drainage of splenic abscess has been demonstrated to be a safe and effective method of treatment in adults in eight cases,3-5 without mortality or significant complications. We present the first pediatric age patient who was successfully treated by percutaneous drainage.

Submitted on June 16, 1986
Accepted on August 4, 1986