Splenic abscess.

The character and management of splenic abscess has changed in the past decade. The condition is more frequent, diagnosis is more easily established, and survival is more likely. Seven patients with splenic abscess 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 patients underwent CT scanning that was reliably diagnostic. All seven patients underwent splenectomy. Six of the seven patients were discharged from the hospital. We conclude that CT scan remains the gold standard for definitive diagnosis of splenic abscess, and splenectomy is very effective therapy.