Total Splenectomy for Splenic Abscess in Pediatric Oncology: A Report of Two Cases

Abstract: Splenic abscess is a relatively uncommon condition, especially in pediatric malignancies. The diagnosis of a splenic abscess is a clinical challenge due to low incidence. The condition is fatal if not diagnosed on time. We are reporting two cases with underlying immune suppression secondary to malignancy and multidrug-resistant sepsis with splenic abscesses as the focus. Both children had life-threatening sepsis and required total splenectomy as a life-saving measure. Postsplenectomy course was uneventful with clinical improvement, and chemotherapy was continued. High suspicion is necessary due to nonspecific presentation. The treatment of splenic abscess includes conservative management and percutaneous drainage. Splenectomy is generally not indicated; however, total splenectomy may be required in the setting of multiple splenic abscesses, also to prevent overwhelming infection in an immunocompromised setting.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Total Splenectomy for Splenic Abscess in Pediatric Oncology: A Report of Two Cases ; day:30 ; month:01 ; year:2024
Indian journal of medical & paediatric oncology ; (30.01.2024)

Contributor
Bhat, Ramitha R.
Bhat K, Vasudeva
Venkatesh, Vinay Munikoty
Venkatagiri, Archana Melavarige
Joshi, Shreya
Kumar, Vijay
Prabhu, Santosh P.
Godkhindi, Vishwapriya
Thobbi, Atul
Pai, Chandana

DOI
10.1055/s-0044-1779048
URN
urn:nbn:de:101:1-2024031411243631059535
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
14.08.2025, 10:47 AM CEST

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Associated

  • Bhat, Ramitha R.
  • Bhat K, Vasudeva
  • Venkatesh, Vinay Munikoty
  • Venkatagiri, Archana Melavarige
  • Joshi, Shreya
  • Kumar, Vijay
  • Prabhu, Santosh P.
  • Godkhindi, Vishwapriya
  • Thobbi, Atul
  • Pai, Chandana

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