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LETTER TO THE EDITOR Table of Contents   
Year : 2010  |  Volume : 7  |  Issue : 2  |  Page : 123
Splenic abscess in children: A concern of management


Wiwanitkit House, Bangkhae, Bangkok Thailand 10160, Thailand

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Date of Web Publication29-Apr-2010
 

How to cite this article:
Wiwanitkit V. Splenic abscess in children: A concern of management. Afr J Paediatr Surg 2010;7:123

How to cite this URL:
Wiwanitkit V. Splenic abscess in children: A concern of management. Afr J Paediatr Surg [serial online] 2010 [cited 2019 Sep 20];7:123. Available from: http://www.afrjpaedsurg.org/text.asp?2010/7/2/123/62845
Sir,

I read the recent publication on splenic abscess by Rattan et al. with great interest. [1] Authors concluded that "In children with splenic abscess, ultrasound-guided aspiration of abscess should be the first line of treatment, when this fails either because of multiple abscesses or dense adhesions around the spleen then splenectomy or open drainage may become necessary." [1] Indeed, the splenic abscess is not a rather rare condition in tropical medicine and there are several causes of abscess, either septic or aseptic. Before performing any treatments, it is needed to make a good clinical diagnosis. Rudick et al. reported that "Ultrasound is the imaging method of choice for early diagnosis of patients with suspected splenic abscess and a good screening study in patients with fever and nonspecific abdominal symptoms." [2]

It should also be noted that there are also some malignancy conditions that might mimic the splenic abscess and the use of ultrasound-guided aspiration might bring the problem for these cases. [3]

 
   References Top

1.Rattan KN, Kadian YS, Saroha V, Jindal N. Splenic abscess in children: A report of three patients. Afr J Paediatr Surg 2009;6:106-9.  Back to cited text no. 1  [PUBMED]  Medknow Journal  
2.Rudick MG, Wood BP, Lerner RM. Splenic abscess diagnosed by ultrasound in the pediatric patient. Report of three cases. Pediatr Radiol 1983;13:269-71.  Back to cited text no. 2  [PUBMED]    
3.Goerg C, Schwerk WB, Goerg K. Splenic lesions: Sonographic patterns, follow-up, differential diagnosis. Eur J Radiol 1991;13:59-66.  Back to cited text no. 3  [PUBMED]  [FULLTEXT]  

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Correspondence Address:
Viroj Wiwanitkit
Wiwanitkit House, Bangkhae, Bangkok, Thailand 10160
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0189-6725.62845

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