Abstract
This paper reviews four cases of splenic abscess in children. All of them had sickle-cell disease and were treated by splenectomy covered by a course of antibiotics and pneumovax and made a rapid recovery. Of particular interest was the isolation of salmonella in two of our patients. Splenic abscess is a not uncommon complication of sickle-cell disease, and physicians caring for these children must be aware of this complication, its mode of presentation, and alternate forms of management.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Al-Awamy BH, Niazi GA, El-Mouzan MI, et al. (1986) Newborn screening for sickle cell haemoglobinopathy and other inherited erythrocytic disorders in the Eastern Province of Saudi Arabia. Saudi Med J 7: 502–509
Al-Awamy BH, Niazi GA, El-Mouzan MI et al. (1986) Relationship of hemoglobin F and alpha-thalassemia to severity of sickle cell anemia in the Eastern Province of Saudi Arabia. Trop Geogr Med 34: 51–54
Al-Salem AH, Ahmed HA, Qaisaruddin S, et al. (1992) Osteometitis and septic arthritis in sickle cell disease in the Eastern Province of Saudi Arabia. International Orthopaedic 1: 398–402
Berkman WA, Harris SA, Bernardino ME (1983) Non surgical drainage of splenic abscess. American Journal of Roentgenology 141: 395–396
Chun CH, Raff MJ, Contreras L, et al. (1980) Splenic abscess. Medicine 59: 50–65
Gadacz TR (1985) Splenic abscess. World J Surg 9: 410–415
Gelpi AP (1979) Benign sickle cell disease in Saudi Arabia: survival estimate and population dynamics. Clin Genet 15: 307–310
Gerzot SG, Johnson WC, Robbins AH, et al. (1985) Expanded criteria for percutaneous abscess drainage. Arch Surg 120: 227–232
Gerzot SG, Robbins AH, Johnsons WC, et al. (1981) Percutaneous catheter drainage of abdominal abscesses. N Engl J Med 305: 653–657
Grant CS, Al-Salem A, Khwaja MS, et al. (1987) Splenic abscess in children: aspects of management. J R Coll Surg Edinb 32: 342–345
Kolawole TM, Bohner SP (1973) Splenic abscess and the gene for haemoglobin S. Am J Roentgenol 119: 175–189
Lerner RM, Spataro RF (1984) Splenic abscess: Percontaneous drainage. Radiology 153: 643–645
Lina SDA, Nagorney DM, McIlrath DC (1983) Splenic abscess. Importance of early diagnosis. Mayo Clin Proc 58: 261–264
Perrine RP, Brown MJ, Clegg JB, et al. (1972) Benign sickle cell anaemia. Lancet 2: 1163–1167
Perrine RP, Pembrey ME, John P, et al. (1978) Natural history of sickle cell anaemia in Saudi Arabs. A study of 270 subjects. Ann Intern Med 88: 1–6
Ramakrishnan MR, Sarathy TKP Balu M (1987) Percutaneous drainage of splenic abscess. Case report and review of literature. Pediatrics 79: 1029–1031
Sarr MG, Zuidema GD (1992) Splenic abscess — presentation, diagnosis and treatment. Surgery 92: 480–485
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Al-Salem, A.H., Kadappa Mallapa, K., Qaisaruddin, S. et al. Splenic abscess in children with sickle-cell disease. Pediatr Surg Int 9, 489–491 (1994). https://doi.org/10.1007/BF00179448
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00179448