Ruptura de absceso esplénico con peritonitis: presentación de un caso / Rupture of splenic abscess with peritonitis: a case report
Arch. méd. Camaguey
;
13(6)nov.-dic. 2009. ilus
Article
in Spanish
| LILACS
| ID: lil-577865
RESUMEN
Se presentó a una paciente diagnosticada en el transoperatorio como portadora de absceso esplénico roto con peritonitis consecuente. Se le realizó esplenectomía con cultivo de material purulento, lavado y drenaje de la cavidad abdominal. Se empleó antibioticoterapia de amplio espectro. El resultado del cultivo se informó como negativo. La paciente presentó favorable evolución postoperatoria. Lo inusual de esta enfermedad y su alta mortalidad debido a su diagnóstico tardío en una gran parte de los pacientes, motivó a revisar bibliografía actualizada en relación con su patogénesis, diagnóstico y terapéutica.
ABSTRACT
A patient diagnosed in the transoperative as carrier of broken splenic abscess with consequent peritonitis was presented. Splenectomy was carried out with purulent material culture, lavage and drainage of the abdominal cavity. Antibiotictherapy of wide spectrum was used. The result of the culture was informed as negative. The patient presented favorable postoperative evolution. The unusual of this disease and its high mortality due to its late diagnosis in a great part of the cases, motivated to revise up-dated bibliography in connection with its pathogenesis, diagnosis and therapy.
Full text:
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Index:
LILACS (Americas)
Main subject:
Peritonitis
/
Splenectomy
/
Abdominal Abscess
/
Anti-Bacterial Agents
Limits:
Female
/
Humans
Language:
Spanish
Journal:
Arch. méd. Camaguey
Journal subject:
Medicine
Year:
2009
Type:
Article
Affiliation country:
Cuba
Institution/Affiliation country:
Hospital Provincial Clínico Quirúrgico Docente Amalia Simoni/CU
/
Universidad de Ciencias Médicas Carlos J Finlay/CU
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