Splenic abscess secondary to penetrating gastric ulcer.
Splenic abscess is a rare disease whose diagnosis is difficult, though the use of modern imaging methods has increased diagnosed cases in recent years. We report a case of splenic abscess whose aetiology is unusual, namely, a gastric ulcer penetrating into the splenic artery and causing arterial thrombosis and septic embolism. Ultrasonography and ultrasound-guided puncture resolved any diagnostic doubt, and subsequent surgery confirmed the diagnosis. Pathogenesis, clinical picture, diagnostic methods, and treatment are discussed with reference to the literature.
Department of Gastroenterology, Casa Sollievo della Sofferenza Hospital, IRCCS San Giovanni Rotondo, Foggia.
A
A
Giacobbe
D
D
Facciorusso
G
G
Modola
E
E
Caturelli
N
N
Caruso
F
F
Perri
B
B
Tardio
M
M
Bisceglia
A
A
Andriulli