Laparoscopic splenectomy for tuberculous abscess of the spleen
Abscess of the spleen is an uncommon clinical entity and a tuberculous abscess is particularly rare. Although image-guided aspiration has been reported, splenectomy is the preferred modality of treatment. We report a 32-year-old female diagnosed to have a large, multilocular splenic abscess during i...
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Wolters Kluwer Medknow Publications
2010-01-01
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doaj-b7ea4c31830144e48cacfc004449a62c2020-11-24T23:32:30ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212010-01-01638385Laparoscopic splenectomy for tuberculous abscess of the spleenBhandarkar DeeprajKatara AvinashShankar ManuMittal GauravUdwadia TehemtonAbscess of the spleen is an uncommon clinical entity and a tuberculous abscess is particularly rare. Although image-guided aspiration has been reported, splenectomy is the preferred modality of treatment. We report a 32-year-old female diagnosed to have a large, multilocular splenic abscess during investigation of a pyrexial illness. Her haemoglobin was 9.8 gm%, ESR 100 mm/1 <sup>st</sup> hour and she was HIV negative. She had been on anti-tubercular chemotherapy (started elsewhere) for 2 months but had shown poor response. A laparoscopic splenectomy undertaken using four-ports was challenging due to the presence of perisplenitis and adhesions in the splenic hilum. Also, fundus of stomach densely adherent to the upper pole of the spleen required stapled resection. Postoperatively, she developed a low-output pancreatic fistula that resolved with conservative treatment within a week. Histopathology of the spleen confirmed tuberculosis. She responded well to anti-tubercular chemotherapy and remains well 3 years later.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2010;volume=6;issue=3;spage=83;epage=85;aulast=BhandarkarAbscesslaparoscopyspleensplenectomytuberculosis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Bhandarkar Deepraj Katara Avinash Shankar Manu Mittal Gaurav Udwadia Tehemton |
spellingShingle |
Bhandarkar Deepraj Katara Avinash Shankar Manu Mittal Gaurav Udwadia Tehemton Laparoscopic splenectomy for tuberculous abscess of the spleen Journal of Minimal Access Surgery Abscess laparoscopy spleen splenectomy tuberculosis |
author_facet |
Bhandarkar Deepraj Katara Avinash Shankar Manu Mittal Gaurav Udwadia Tehemton |
author_sort |
Bhandarkar Deepraj |
title |
Laparoscopic splenectomy for tuberculous abscess of the spleen |
title_short |
Laparoscopic splenectomy for tuberculous abscess of the spleen |
title_full |
Laparoscopic splenectomy for tuberculous abscess of the spleen |
title_fullStr |
Laparoscopic splenectomy for tuberculous abscess of the spleen |
title_full_unstemmed |
Laparoscopic splenectomy for tuberculous abscess of the spleen |
title_sort |
laparoscopic splenectomy for tuberculous abscess of the spleen |
publisher |
Wolters Kluwer Medknow Publications |
series |
Journal of Minimal Access Surgery |
issn |
0972-9941 1998-3921 |
publishDate |
2010-01-01 |
description |
Abscess of the spleen is an uncommon clinical entity and a tuberculous abscess is particularly rare. Although image-guided aspiration has been reported, splenectomy is the preferred modality of treatment. We report a 32-year-old female diagnosed to have a large, multilocular splenic abscess during investigation of a pyrexial illness. Her haemoglobin was 9.8 gm%, ESR 100 mm/1 <sup>st</sup> hour and she was HIV negative. She had been on anti-tubercular chemotherapy (started elsewhere) for 2 months but had shown poor response. A laparoscopic splenectomy undertaken using four-ports was challenging due to the presence of perisplenitis and adhesions in the splenic hilum. Also, fundus of stomach densely adherent to the upper pole of the spleen required stapled resection. Postoperatively, she developed a low-output pancreatic fistula that resolved with conservative treatment within a week. Histopathology of the spleen confirmed tuberculosis. She responded well to anti-tubercular chemotherapy and remains well 3 years later. |
topic |
Abscess laparoscopy spleen splenectomy tuberculosis |
url |
http://www.journalofmas.com/article.asp?issn=0972-9941;year=2010;volume=6;issue=3;spage=83;epage=85;aulast=Bhandarkar |
work_keys_str_mv |
AT bhandarkardeepraj laparoscopicsplenectomyfortuberculousabscessofthespleen AT kataraavinash laparoscopicsplenectomyfortuberculousabscessofthespleen AT shankarmanu laparoscopicsplenectomyfortuberculousabscessofthespleen AT mittalgaurav laparoscopicsplenectomyfortuberculousabscessofthespleen AT udwadiatehemton laparoscopicsplenectomyfortuberculousabscessofthespleen |
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1725533887231164416 |