Emphysematous splenitis traditionally requires a splenectomy, resulting in life-long consequences for the patient. is often seen in an immunocompromised population. This case demonstrates a multidisciplinary team approach consisting of percutaneous drainage and a prolonged intravenous and oral antibiotic regime, including ceftriaxone and metronidazole, as well as amoxicillin and clavulanic acid, to provide a successful outcome in an elderly immunocompetent female. This negated the need to proceed to the traditional operative management of splenectomy and validates an equitable conservative approach to treat a -induced emphysematous splenic infection. This approach was undertaken and was likely successful secondary to the haemodynamic stability and immunocompetent baseline of the patient. Her immunocompetency could be maintained due to the non-operative management and should therefore be considered if the clinical situation allows.
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http://dx.doi.org/10.7759/cureus.80389 | DOI Listing |
Cureus
March 2025
General Surgery, Fiona Stanley Hospital, Perth, AUS.
Emphysematous splenitis traditionally requires a splenectomy, resulting in life-long consequences for the patient. is often seen in an immunocompromised population. This case demonstrates a multidisciplinary team approach consisting of percutaneous drainage and a prolonged intravenous and oral antibiotic regime, including ceftriaxone and metronidazole, as well as amoxicillin and clavulanic acid, to provide a successful outcome in an elderly immunocompetent female.
View Article and Find Full Text PDFVet Radiol Ultrasound
May 2021
Diagnostic Imaging Department, Pride Veterinary Centre, Derby, UK.
Spontaneous emphysematous splenitis is a life-threatening condition reported rarely in humans; however, published reports in dogs are currently lacking. The aim of this multicentric, retrospective, case series design study was to describe radiographic and ultrasonographic imaging findings in Golden Retriever dogs diagnosed with spontaneous emphysematous splenitis. A total of three dogs were sampled.
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