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March 1975

Clinical Manifestations of Splenic Abscess

Author Affiliations

From the Department of Surgery, Hadassah University Hospital, Jerusalem, Israel.

Arch Surg. 1975;110(3):281-283. doi:10.1001/archsurg.1975.01360090051010

Two patients with splenic abscess were successfully treated. In one patient, Streptococcus viridans, possibly arising in a dental abscess, led to inflammatory left upper quadrant signs. An exploratory laparotomy was performed, and the spleen, being found enlarged, was removed. The other patient showed no peritoneal signs. Laparotomy was done for pyrexia of unknown origin, and the removal of a normal-sized spleen was elected on the suspicion of lymphosarcoma. The spleen was abscessed, apparently because of old infarcts. A high index of suspicion is important in diagnosis, and selective angiography, not used in these two patients, is recommended.

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