SPLENIC ABSCESS

The character and management of splenic abscess has changed in the pas t decade. The condition is more frequent, diagnosis is more easily est ablished, and survival is more likely. Seven patients with splenic abs cess from 1981-1992 were retrospectively reviewed. These patients had different etiologies for their splenic abscess, including hematogenous bacteria spread, contiguous spread, and previous history of trauma to the spleen or left upper quadrant. Most patients presented clinically with fever, left upper quadrant tenderness, and leukocytosis. All pat ients underwent CT scanning that was reliably diagnostic. All seven pa tients underwent splenectomy. Six of the seven patients were discharge d from the hospital. We conclude that CT scan remains the gold standar d for definitive diagnosis of splenic abscess, and splenectomy is very effective therapy.