Splenic abscesses, though a rare cause of intra-abdominal infection is associated with high mortality if untreated. Antimicrobials and splenectomy had been the most widely practised treatments. But current trends have garnered towards a spleen sparing approach. Collection of pus in the sub capsular parenchymatous tissue of spleen is a rare condition with a reported incidence of 0.7%. Few studies have documented an increased incidence among males.
A peak incidence is seen around 40 -50 years. An increase in incidence in the recent years may be associated with the prevalence of AIDS, increased usage of immunosuppressants and increased survival of patients with haematological malignancies and diseases. With the advanced diagnostic systems and treatment methods the mortality rates are expected to reduce. Pathophysiology In majority of cases, splenic abscesses are the result of secondary…
