{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T23:40:46Z","timestamp":1768434046449,"version":"3.49.0"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,12,30]],"date-time":"2020-12-30T00:00:00Z","timestamp":1609286400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance<\/jats:title>\n                    <jats:p>Splenic abscess (SA) is an uncommon, life-threatening disease with about 600 reported cases in the literature. It is caused by various infective pathogens and generally occurs in immunocompromised patients. SA is a rare complication of non-typhoid Salmonella (NTS) infection. Diagnosis of ruptured SA is a challenge because the absence of specific symptoms and signs. Abdominal computed tomography (CT) scan represents the gold standard in diagnosing of SA. Splenectomy is the treatment of choice of ruptured SA with peritonitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A 26-year-old Caucasian female was admitted to the Emergency Department with a three-day history of abdominal pain and fever. Physical examination revealed severe and generalized abdominal pain on superficial and deep palpation with obvious muscle guarding and rebound tenderness. Abdominal CT scan showed ruptured SA. Laboratory tests reported anemia (hemoglobin 10.4 g\/dl). The patient was taken emergently to the operating room for splenectomy. The postoperative course was uneventful, the patient was discharged on the 7th post-operative day. Diagnosis of NTS SA was made by pus cultures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion<\/jats:title>\n                    <jats:p>SA is a rare complication of NTS infection associated with high morbidity and mortality rates. Although different types of treatment of SA are reported in the literature, splenectomy represents the treatment of choice of ruptured SA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>NTS SA is difficult to diagnose because of its rarity and non-specific clinical presentation, often fatal if left untreated. Although there is no gold standard for treating SA, splenectomy with peritoneal lavage is mandatory in case of ruptured SA with peritonitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2020.12.081","type":"journal-article","created":{"date-parts":[[2021,1,18]],"date-time":"2021-01-18T02:37:15Z","timestamp":1610937435000},"page":"160-163","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Non-traumatic rupture of voluminous non-typhoid Salmonella splenic abscess presenting with peritonitis"],"prefix":"10.1097","volume":"79","author":[{"given":"Giuseppe","family":"Evola","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enrico","family":"Piazzese","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Cantella","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marianna","family":"Iudica","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gastone","family":"Veroux","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salvatore","family":"Sarv\u00e0","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-37-20260114","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1089\/sur.2012.073","article-title":"Splenectomy for splenic abscess","volume":"14","author":"To","year":"2013","journal-title":"Surg. Infect"},{"key":"R2-37-20260114","doi-asserted-by":"crossref","first-page":"e228961","DOI":"10.1136\/bcr-2018-228961","article-title":"Non-traumatic ruptured splenic abscess presenting with pneumoperitoneum in an immunocompetent patient: a diagnostic dilemma","volume":"12","author":"Agarwal","year":"2019","journal-title":"BMJ Case Rep"},{"key":"R3-37-20260114","doi-asserted-by":"crossref","first-page":"1004","DOI":"10.1016\/S1995-7645(12)60191-6","article-title":"Peritonitis secondary to ruptured splenic abscess: a grave complication of typhoid fever","volume":"5","author":"George","year":"2012","journal-title":"Asian Pac. J. Trop. Med"},{"key":"R4-37-20260114","first-page":"e87136","article-title":"Typhoid splenic abscess: a case report and literature review","volume":"6","author":"Khan","year":"2019","journal-title":"Int. J. Infect"},{"key":"R6-37-20260114","doi-asserted-by":"crossref","first-page":"614","DOI":"10.1016\/j.revmed.2016.12.025","article-title":"Abc\u00e8s de la rate: du diagnostic au traitement","volume":"38","author":"Davido","year":"2017","journal-title":"Rev. Med. Interne"},{"key":"R7-37-20260114","doi-asserted-by":"crossref","first-page":"460","DOI":"10.3748\/wjg.v12.i3.460","article-title":"Clinical characteristics and prognostic factors of splenic abscess: a review of 67 cases in a single medical center of Taiwan","volume":"12","author":"Chang","year":"2006","journal-title":"World J. Gastroenterol"},{"key":"R8-37-20260114","first-page":"219","article-title":"Splenic abscess due to Salmonella enterica Serotype typhi in a young adult","volume":"40","author":"Duggal","year":"2008","journal-title":"J. Commun. Dis"},{"key":"R9-37-20260114","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/S0002-9610(97)00030-5","article-title":"Splenic abscesses from 1987 to 1995","volume":"174","author":"Ooi","year":"1997","journal-title":"Am. J. Surg"},{"key":"R10-37-20260114","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1111\/j.1708-8305.2010.00407.x","article-title":"Giant splenic abscess due to Salmonella enteritidis in a returning traveler","volume":"17","author":"Comarmond","year":"2010","journal-title":"J. Travel Med"},{"key":"R11-37-20260114","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1016\/j.ijid.2005.09.004","article-title":"Invasive non-typhoidal salmonellosis in immunocompetent infants and children","volume":"11","author":"Galanakis","year":"2007","journal-title":"Int. J. Infect. Dis"},{"key":"R12-37-20260114","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1097\/00005792-198709000-00003","article-title":"Extra-intestinal manifestations of salmonella infections","volume":"66","author":"Cohen","year":"1987","journal-title":"Medicine (Baltimore"},{"key":"R13-37-20260114","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1097\/QCO.0b013e32834a9980","article-title":"Invasive nontyphoidal Salmonella disease: epidemiology, pathogenesis and diagnosis","volume":"24","author":"Gordon","year":"2011","journal-title":"Curr. Opin. Infect. Dis"},{"key":"R14-37-20260114","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1016\/0735-6757(95)90215-5","article-title":"Splenic abscess: a diagnostic pitfall in the ED","volume":"13","author":"Liang","year":"1995","journal-title":"Am. J. Emerg. Med"},{"key":"R15-37-20260114","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1016\/j.ijscr.2020.09.045","article-title":"Hemorrhagic shock from post-traumatic rupture of microcystic splenic lymphangioma: a case report and review of the literature","volume":"75","author":"Evola","year":"2020","journal-title":"Int. J. Surg. Case Rep"},{"key":"R17-37-20260114","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1016\/j.ijid.2008.08.024","article-title":"Management of splenic abscess: report on 16 cases from a single center","volume":"13","author":"Ferraioli","year":"2009","journal-title":"Int. J. Infect. Dis"},{"key":"R18-37-20260114","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1097\/00129689-200410000-00013","article-title":"Laparoscopic splenectomy for splenic abscess","volume":"14","author":"Carbonell","year":"2004","journal-title":"Surg. Laparosc. Endosc. Percutan. Tech"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261220312712?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261220312712?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.12.081","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:28:55Z","timestamp":1768397335000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.12.081"}},"subtitle":["Case report and review of the literature"],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":16,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2020.12.081","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}