{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:56:20Z","timestamp":1753876580677,"version":"3.41.2"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2021,4,13]],"date-time":"2021-04-13T00:00:00Z","timestamp":1618272000000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Splenic abscesses are rare, difficult to diagnose, difficult to treat and usually appear in immunosuppressed patients. We present the case of a 64-year-old patient with left pleuritic chest pain, anorexia and fever with rigors diagnosed with splenic abscess due to splenic flexure colon cancer. The abscess spontaneously ruptured and the patient was operated on for acute abdomen. Splenectomy and Hartmann\u2019s hemicolectomy were performed. The patient was discharged from the hospital and referred to the oncologic department. Continuous spread of infection and especially initiating from a cancer lesion is a usual mechanism of splenic abscess formation. Although computed tomography-guided percutaneous drainage is the treatment of choice, an exploratory laparotomy was necessary in this case because of the rupture of the abscess. It is important for the clinicians to include splenic abscesses and their complications in the differential diagnosis of acute abdomen.<\/jats:p>","DOI":"10.1093\/jscr\/rjab048","type":"journal-article","created":{"date-parts":[[2021,2,3]],"date-time":"2021-02-03T21:49:04Z","timestamp":1612388944000},"source":"Crossref","is-referenced-by-count":0,"title":["A case of acute abdomen caused by spontaneous rupture of a splenic abscess secondary to cancer of the splenic flexure"],"prefix":"10.1093","volume":"2021","author":[{"given":"Efstathios T","family":"Pavlidis","sequence":"first","affiliation":[{"name":"Aristotle University of Thessaloniki, School of Medicine, Second Surgical Propedeutic Department, Hippocration Hospital, Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eirini K","family":"Martzivanou","sequence":"additional","affiliation":[{"name":"Aristotle University of Thessaloniki, School of Medicine, Second Surgical Propedeutic Department, Hippocration Hospital, Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikolaos G","family":"Symeonidis","sequence":"additional","affiliation":[{"name":"Aristotle University of Thessaloniki, School of Medicine, Second Surgical Propedeutic Department, Hippocration Hospital, Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyriakos K","family":"Psarras","sequence":"additional","affiliation":[{"name":"Aristotle University of Thessaloniki, School of Medicine, Second Surgical Propedeutic Department, Hippocration Hospital, Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra G","family":"Marneri","sequence":"additional","affiliation":[{"name":"Aristotle University of Thessaloniki, School of Medicine, Second Surgical Propedeutic Department, Hippocration Hospital, Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kalliopi E","family":"Stavrati","sequence":"additional","affiliation":[{"name":"Aristotle University of Thessaloniki, School of Medicine, Second Surgical Propedeutic Department, Hippocration Hospital, Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theodoros E","family":"Pavlidis","sequence":"additional","affiliation":[{"name":"Aristotle University of Thessaloniki, School of Medicine, Second Surgical Propedeutic Department, Hippocration Hospital, Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,4,13]]},"reference":[{"key":"2021070811380239600_ref1","first-page":"686","article-title":"Splenic abscess","volume":"79","author":"Lawhorne","year":"1976","journal-title":"Surgery"},{"key":"2021070811380239600_ref2","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1007\/BF01655275","article-title":"Splenic abscess","volume":"9","author":"Gadacz","year":"1985","journal-title":"World J Surg"},{"key":"2021070811380239600_ref3","doi-asserted-by":"crossref","first-page":"1331","DOI":"10.1001\/archsurg.1997.01430360077014","article-title":"Splenic abscess: another look at an old disease","volume":"132","author":"Phillips","year":"1997","journal-title":"Arch Surg"},{"key":"2021070811380239600_ref4","doi-asserted-by":"crossref","first-page":"912","DOI":"10.1016\/0002-9610(54)90449-3","article-title":"Abscess of the spleen","volume":"88","author":"Reid","year":"1954","journal-title":"Am J Surg"},{"key":"2021070811380239600_ref5","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1002\/bjs.1800730829","article-title":"Influence of tumour site on presentation, management and subsequent outcome in large bowel cancer","volume":"73","author":"Aldridge","year":"1986","journal-title":"Br J Surg"},{"key":"2021070811380239600_ref6","doi-asserted-by":"crossref","first-page":"e4941","DOI":"10.1097\/MD.0000000000004941","article-title":"Splenic abscess owing to cancer at the splenic flexure: a case report and comprehensive review","volume":"95","author":"Awotar","year":"2016","journal-title":"Medicine (Baltimore)"},{"key":"2021070811380239600_ref7","first-page":"62","article-title":"Splenic rupture secondary to abscess: rare cause of pneumoperitoneum. Case report","volume":"85","author":"Barr\u00f3n-Reyes","year":"2017","journal-title":"Cir Cir"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2021\/4\/rjab048\/37042103\/rjab048.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2021\/4\/rjab048\/37042103\/rjab048.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,8]],"date-time":"2021-07-08T20:29:15Z","timestamp":1625776155000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjab048\/6224684"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,1]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,4,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjab048","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2021,4]]},"published":{"date-parts":[[2021,4,1]]},"article-number":"rjab048"}}