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.
Giacobbe
A
A
Department of Gastroenterology, Casa Sollievo della Sofferenza Hospital, IRCCS San Giovanni Rotondo, Foggia.
Facciorusso
D
D
Modola
G
G
Caturelli
E
E
Caruso
N
N
Perri
F
F
Tardio
B
B
Bisceglia
M
M
Andriulli
A
A