DOI: 10.36347/sjams.2017.v05i08.065

Pages: 3328-3332

Abscess formation in the spleen is uncommon clinical problem and is normally associated with underlying diseases. Presentation is variable ranging from prolonged pyrexia to abdominal pain to frank peritonitis on account of rupture of abscess in peritoneal cavity. The diagnosis is often difficult. The continuum of treatment ranges from percutaneous approaches for aspiration of abscess to splenectomy. We evaluated eleven patients who were diagnosed as a case of splenic abscess and managed over six year period in a tertiary care centre of North India. The study highlights need of individualization of therapy ranging from appropriate antibiotics in conjunction with percutaneous/ open drainage, and/or splenectomy in order to conserve spleen in majority of patients.