• Won-Suk Lee, Sang Tae Choi, and Keon Kuk Kim.
• Department of Surgery, Gachon University of Medicine and Science, Gil Hospital, 1198 Guwol-dong, Namdong-gu, Incheon 405-760, Korea.
• Yonsei Med. J. 2011 Mar 1; 52 (2): 288-92.

PurposeThe aim of this study was to review our experience with splenic abscesses, with respect to the relevant aspects of splenic abscesses and treatment outcomes.Materials And MethodsWe reviewed the cases of 18 patients who had splenic abscesses and who were treated at our hospital from November 1993 to December 2008.ResultsThe most common symptom at presentation was abdominal pain in 12 patients (66.7%). The median duration from symptom onset until establishment of a diagnosis was 22 days. Streptococcus viridans was the most common pathogen (27.8%), follow by Klebsiella pneumoniae (22.2%). The mortality rate during the inpatient period and the previous 90 days was 16.6%. Three of four patients with Klebsiella pneumoniae showed a single abscess pocket. Four patients (22.2%) underwent percutaneous drainage, eight (44.5%) received antibiotic treatment only and six (33.3%) underwent splenectomy.ConclusionThere is no gold standard for treating splenic abscesses. Treatment should be customized for each patient.

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