Abstract

CORREA, Juan Camilo; MORALES, Carlos H.  and  SANABRIA, Álvaro E.. Splenic abscess: percutaneous drainage or splenectomy?. rev. colomb. cir. [online]. 2016, vol.31, n.1, pp.50-56. ISSN 2011-7582.

Splenic abscess is not a common entity, with an incidence of 0.2 to 0.7%. Early diagnosis and prompt treatment of this condition is associated with better outcomes. The conventional treatment for splenic abscess has been splenectomy; however, given its immunological importance and the morbidity associated with the procedure there is a tendency for less invasive treatment modalities. This article is a literature review that discusses the evidence behind the different treatment modalities available. Patient treatment should be individualized, but percutaneous drainage procedures can be regarded as the first option in most cases, Splenectomy should be the second line treatment. Laparoscopic splenectomy, although with longer intraoperative times, is associated with a significant reduction in postoperative complications.

Keywords : spleen; splenic diseases; abscess; drainage; splenectomy; laparoscopy.

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