Perisplenitis as a cause of acute abdomen: a case report.
Splenitis can complicate blood-borne sepsis in hemodialysis patients. Symptoms include left upper quadrant pain and tenderness in addition to generalized systemic manifestation of infection. Clinical diagnosis is difficult and there is no specific investigation to confirm it. Computed tomography scan of the spleen can help in identifying a splenic abscess, rupture, or infarction. A splenectomy is the treatment of choice in splenic abscess, in splenitis to avoid spontaneous rupture, and in recurrent perisplenitis.
El Tayar
Adil R
AR
St. Mary's Hospital, Paddington, London, United Kingdom.
Labruzzo
Cinzia
C
Haritopoulos
Konstantinos
K
Papalois
Vassilios
V
Hakim
Nadey S
NS
D000006:Abdomen, Acute / Q000209:etiology; D004866:Equipment Contamination; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008875:Middle Aged; D006435:Renal Dialysis / Q000009:adverse effects / Q000295:instrumentation*; D013154:Spleen / Q000382:microbiology* / Q000473:pathology; D013158:Splenic Diseases / Q000150:complications / Q000175:diagnosis*; D013203:Staphylococcal Infections / Q000150:complications / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed