{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T23:52:33Z","timestamp":1768434753218,"version":"3.49.0"},"reference-count":15,"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":[[2021,11,2]],"date-time":"2021-11-02T00:00:00Z","timestamp":1635811200000},"content-version":"vor","delay-in-days":305,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/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 is a potentially life-threatening disease. Antibiotics along with surgery are the gold standard therapy. We present a case of splenic-salvaged surgical management of a large splenic abscess in a rural setting, complying with the available resources.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A 35-year old female presented to the ER with a history of left hypochondrium pain and fever for seven days. Abdominal tenderness at the left hypochondrium with an enlarged spleen was found. Laboratory tests showed severe anemia, leukocytosis, and thrombocytosis. Chest X-ray suggested pulmonary tuberculosis with minimal left pleural effusion. Ultrasound revealed a large unifocal splenic abscess. Antibiotics were administered. Simplified percutaneous drainage was performed, followed by open surgery abscess drainage. The patient showed a smooth recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion<\/jats:title>\n                    <jats:p>Pulmonary tuberculosis finding in a patient with splenic abscess suggested the potential etiology which itself is a rare finding. Spleen preservation surgery along with antibiotics is preferable to retain immunologic functions. In the rural setting, like Indonesia, where a pig-tail catheter set is not available, a simplified abscess drainage procedure is feasible. In patients with poor conditions, laparotomy and splenectomy approaches would lead to higher mortality and morbidity rates. Chest tube insertion may not be necessary for minimal pleural effusion in a splenic abscess as it may resolve naturally along with the abscess recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Large splenic abscess can be managed by abscess drainage if the lesion is unifocal, in a view of the spleen being salvageable in patients with poor general conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2021.106579","type":"journal-article","created":{"date-parts":[[2021,11,3]],"date-time":"2021-11-03T23:38:09Z","timestamp":1635982689000},"page":"106579","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Surgical management of splenic abscess complicated by pleural effusion in rural setting"],"prefix":"10.1097","volume":"89","author":[{"given":"Ivana Ariella Nita","family":"Hadi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Petrus Prasetio","family":"Boleng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hendrik Benianto","family":"Mengga","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-23-20260114","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4076\/1757-1626-2-7340","article-title":"Multiple splenic abscesses in a rather healthy woman: a case report","volume":"2","author":"Saber","year":"2009","journal-title":"Cases J"},{"key":"R2-23-20260114","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":"R4-23-20260114","doi-asserted-by":"crossref","first-page":"288","DOI":"10.3349\/ymj.2011.52.2.288","article-title":"Splenic abscess: a single institution study and review of the literature","volume":"52","author":"Lee","year":"2011","journal-title":"Yonsei Med. J"},{"key":"R5-23-20260114","first-page":"408","article-title":"Subtotal splenectomy in hereditary spherocytosis - advantages and disadvantages","volume":"42","author":"Bic\u0103","year":"2016","journal-title":"Curr. Health Sci. J"},{"key":"R6-23-20260114","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"Guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"84","author":"Agha","year":"2020","journal-title":"Int. J. Surg"},{"key":"R7-23-20260114","doi-asserted-by":"crossref","first-page":"e83","DOI":"10.1016\/j.jemermed.2011.08.020","article-title":"Splenic abscesses","volume":"44","author":"Sternberg","year":"2013","journal-title":"J. Emerg. Med"},{"key":"R8-23-20260114","first-page":"149","article-title":"Primary tuberculous abscess of the spleen in an immununocompetent patient diagnosed by biochemical markers and radiologic findings","volume":"4","author":"Kim","year":"2012","journal-title":"J. Clin. Med. Res"},{"key":"R10-23-20260114","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1016\/j.ejrad.2007.02.011","article-title":"Image guided percutaneous splenic interventions","volume":"64","author":"Kang","year":"2007","journal-title":"Eur. J. Radiol"},{"key":"R11-23-20260114","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"},{"key":"R12-23-20260114","doi-asserted-by":"crossref","first-page":"7341","DOI":"10.3748\/wjg.v12.i45.7341","article-title":"Ultrasound guided percutaneous treatment of splenic abscesses: the significance in treatment of critically ill patients","volume":"12","author":"Zerem","year":"2006","journal-title":"World J. Gastroenterol"},{"key":"R13-23-20260114","doi-asserted-by":"crossref","first-page":"3088","DOI":"10.3748\/wjg.14.3088","article-title":"Abscesses of the spleen: report of three cases","volume":"14","author":"Fotiadis","year":"2008","journal-title":"World J. Gastroenterol"},{"key":"R14-23-20260114","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1308\/003588414X13814021677593","article-title":"Splenectomy results from an 18-year single Centre experience","volume":"96","author":"Davies","year":"2014","journal-title":"Ann. R. Coll. Surg. Engl"},{"key":"R15-23-20260114","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1016\/j.pedneo.2013.01.008","article-title":"Multiple large splenic abscesses managed with computed tomography-guided percutaneous catheter drainage in children","volume":"54","author":"Yeom","year":"2013","journal-title":"Pediatr. Neonatol"},{"key":"R17-23-20260114","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1016\/S0899-7071(03)00033-0","article-title":"Computed tomography-guided percutaneous drainage of splenic abscesses","volume":"28","author":"Ta\u015far","year":"2004","journal-title":"Clin. Imaging"},{"key":"R20-23-20260114","doi-asserted-by":"crossref","first-page":"1697","DOI":"10.2147\/TCRM.S95805","article-title":"Systemic spread of tuberculosis after surgery for a splenic tuberculous abscess without postoperational antituberculosis treatment: a case report","volume":"11","author":"Yan","year":"2015","journal-title":"Ther. Clin. Risk Manag"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261221010816?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261221010816?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2021.106579","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:30:56Z","timestamp":1768397456000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2021.106579"}},"subtitle":["A case report from rural Indonesia"],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":15,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2021.106579","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}