Yonsei Med J.
1988 Mar;29(1):89-93. 10.3349/ymj.1988.29.1.89.
A Case of Occult Splenic Abscess Following Percutaneous Transluminal Coronary Angioplasty(PTCA): An Unrecognized Complication of PTCA
- Affiliations
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- 1Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
- 2Department of Radiology, Yonsei University College of Medicine, Seoul, Korea.
- 3Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
- KMID: 693117
- DOI: http://doi.org/10.3349/ymj.1988.29.1.89
Abstract
- Despite the increased recognition of surgical problems related to cardiac catheterization, splenic abscess has not been perceived as a common complication. The authors encountered a case of splenic abscess following PTCA in a 61-year old male patient. The major symptom was insidious general malaise. Fever and tenderness in the left upper quadrant of the abdomen were the only positive physical findings. Gram positive anaerobic Streptococci intermedius was indentified as the pathogen in cultures of the ultrasonography-guided aspirate from the splenic abscess. Ultrasonography and abdominal CT scan were diagnostic of the splenic abscess. The patient recovered following a splenectomy.
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