Abstract

ACOSTA BRUNAGA, Lorenzo Diosnel; ESCANDRIOLO, Víctor  and  RAMIREZ, Marcelo. Splenic abscess post-traumatic. Rev. Nac. (Itauguá) [online]. 2019, vol.11, n.1, pp.80-88. ISSN 2072-8174.  https://doi.org/10.18004/rdn2019.0011.01.080-088.

Splenic abscesses are infrequent conditions, but with high mortality attributed to a late diagnosis, mainly, due to absence of specific symptoms and signs. We present a patient with trauma antecedent six months earlier in the abdominal thorax region, who was admitted with a prolonged febrile syndrome of unknown cause. The existence of palpation pain in the left hypochondrium region was confirmed by abdominal ultrasound, the presence of a hypo-echogenic lesion in an enlarged spleen, and in the angio tomography there`s no evidence of contrast leakage. Antibiotic therapy and percutaneous drainage were applied under tomography, with which good clinical response was achieved, with favorable evolution and splenectomy was avoided.

Keywords : splenic abscess; percutaneous drainage.

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