Case report: a case of multiple splenic abscesses in a child and literature review

Yingchun Yang; Jian Liu; Zebing Zheng; Chengyan Tang; Daiwei Zhu; Xingrong Xia; Lu Huang; Qing Du; Yongxing Hao; Yuanmei Liu; Zhu Jin

doi:10.3389/fped.2023.1162527

Case report: a case of multiple splenic abscesses in a child and literature review

Front Pediatr. 2023 May 5:11:1162527. doi: 10.3389/fped.2023.1162527. eCollection 2023.

Authors

Yingchun Yang^{1

2}, Jian Liu^{1

2}, Zebing Zheng^{1

2}, Chengyan Tang^{1

2}, Daiwei Zhu^{1

2}, Xingrong Xia^{1

2}, Lu Huang^{1

2}, Qing Du^{1

2}, Yongxing Hao^{1

2}, Yuanmei Liu^{1

2}, Zhu Jin^{1

2}

Affiliations

¹ Department of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
² Department of Pediatric Surgery, Guizhou Children Hospital, Zunyi, China.

Abstract

Splenic abscesses in children are very rare, and multiple splenic abscesses are rarer. These lesions are difficult to diagnose quickly because of their low incidence and the low specificity of the associated clinical and imaging findings. The treatment of splenic abscesses includes conservative treatment, percutaneous drainage, and splenectomy, but the selection criteria for treatment are still unclear. We present a case of a 13-year-old girl with multiple splenic abscesses. Her blood culture report was negative. We eventually confirmed the diagnosis by enhanced magnetic resonance imaging (MRI). The patient underwent a successful laparoscopic total splenectomy, and her symptoms were resolved thereafter.

Keywords: children; enhanced magnetic resonance imaging; laparoscopic total splenectomy; multiple splenic abscesses; splenic abscess.

Publication types

Case Reports

Grants and funding

This work was supported by the National Natural Science Foundation of China (no. 81760099) and by the Science and Technology Planning Project of Zunyi City, Guizhou Province, China [no. (2019)104].