RESUMEN
Splenic abscesses are increasingly being identified, possibly due to widespread use of imaging modalities in clinical practice. The commonest clinical features are high grade fever and exclusively localised left upper quadrant abdominal pain. These symptoms are similar to most infectious diseases prevalent in the tropics, making imaging by ultrasonography or computer tomography a necessity in the diagnosis. There are reports from different geographic areas on splenic abscesses associated with typhoid fever. We reported ruptured splenic abscess presenting with peritonitis as a rare and grave complication of typhoid fever.
Asunto(s)
Absceso Abdominal/microbiología , Peritonitis/microbiología , Rotura del Bazo/microbiología , Fiebre Tifoidea/complicaciones , Absceso Abdominal/diagnóstico por imagen , Absceso Abdominal/tratamiento farmacológico , Absceso Abdominal/cirugía , Adulto , Antibacterianos/uso terapéutico , Humanos , Masculino , Peritonitis/diagnóstico por imagen , Peritonitis/tratamiento farmacológico , Peritonitis/cirugía , Rotura del Bazo/diagnóstico por imagen , Rotura del Bazo/tratamiento farmacológico , Rotura del Bazo/cirugía , Tomografía Computarizada por Rayos X , Fiebre Tifoidea/diagnóstico por imagen , Fiebre Tifoidea/tratamiento farmacológico , UltrasonografíaRESUMEN
Spontaneous rupture of the spleen is a well-described occurrence in many diseases, being most commonly found in malaria. Exact incidence of this complication is not clear. In this article, we discuss pathology, diagnostic approach and therapeutic options in a patient with malarial splenic rupture. Ruptures of malarial spleens do heal and attempts at splenic lavage/conservative approach should be the aim in their management. Splenectomy should be reserved for those patients with severe rupture or those with continued or recurrent bleeding.
