A case Report of Splenic Abscess

비장농양 치험 1예

  • Shim, Min-Chul (Department of General Surgery College of Medicine, Yeungnam University) ;
  • Song, Sun-Kyo (Department of General Surgery College of Medicine, Yeungnam University) ;
  • Kim, Hong-Jin (Department of General Surgery College of Medicine, Yeungnam University) ;
  • Kwun, Koing-Bo (Department of General Surgery College of Medicine, Yeungnam University)
  • 심민철 (영남대학교 의과대학 외과학교실) ;
  • 송선교 (영남대학교 의과대학 외과학교실) ;
  • 김홍진 (영남대학교 의과대학 외과학교실) ;
  • 권굉보 (영남대학교 의과대학 외과학교실)
  • Published : 1986.06.30

Abstract

Splenic abscess is an uncommon lesion and may be present either as a localized area of infection in the spleen or as a part of generalized sepsis. The diagnosis is difficult because of the rather nonspecific clinical picture. Hence, splenic abscess has a high mortality rate and is after diagnosed only at autopsy. Computerized tomography(CT) offers the clinician a reliable tool for the diagnosis of intra-abdominal abscess. A successful outcome is dependent on an early diagnosis and prompt treatment by splenectomy with antibiotic cover. We experienced a care of splenic abscess which was diagnosed by CT and treated by splenectomy with antibiotics. Postoperative course was relatively uneventful.

저자들은 57세의 남자에서 췌장염에서 기인하였다고 사료되는 다발성 비장농양을 치험하였으며 복부 패혈증 시 전산화 단층촬영을 조기에 실시함으로서 진단과 치료에 좋은 결과를 얻었기에 문헌고찰과 함께 보고하는 바이다.

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