{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T20:29:12Z","timestamp":1791232152743,"version":"4.1.0"},"reference-count":88,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,7,25]],"date-time":"2024-07-25T00:00:00Z","timestamp":1721865600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Isolated splenic abscesses are rare, but increasingly reported with newer organisms and changes in mechanisms involved. We conducted a comparative review of publications from 1900\u20131977, 1977\u20131986, 1987\u20131995, and 1996\u20132022.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic search in Embase and PubMed resulted in 522 publications (1111 cases). Data was tabulated, analysed, and compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Patient demographics and symptoms remain unchanged although more Asian patients were reported. Metastatic infections remain the main cause, but COVID\u201019\u2010linked and iatrogenic causes post bariatric surgery and splenic artery embolization are increasingly reported. Aerobic organisms remain the commonest (68%), with a variety of exotic organisms reported. Splenectomy remains the definitive treatment, although antibiotics only and percutaneous aspiration\/catheter\u2010drainage are increasingly used with reasonable outcomes, with salvage splenectomy for therapeutic failures not having significantly higher mortality than upfront splenectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Isolated splenic abscesses continue to be uncommon, with diagnosis requiring a high degree of suspicion. Non\u2010surgical options for treatment can sometimes be definitive.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.19178","type":"journal-article","created":{"date-parts":[[2024,7,25]],"date-time":"2024-07-25T06:29:16Z","timestamp":1721888956000},"page":"1702-1709","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Splenic abscesses in the new millenium \u2013 a systematic review"],"prefix":"10.1111","volume":"94","author":[{"given":"Daniel Quan Hui","family":"Ooi","sequence":"first","affiliation":[{"name":"School of Medicine &amp; Health University of New South Wales  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua Quan Chen","family":"Ooi","sequence":"additional","affiliation":[{"name":"School of Medicine &amp; Health University of New South Wales  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6777-8464","authenticated-orcid":false,"given":"London Lucien Peng Jin","family":"Ooi","sequence":"additional","affiliation":[{"name":"Department of Hepatopancreatobiliary &amp; Transplant Surgery Singapore General Hospital  Singapore"},{"name":"Office of Education Duke\u2010NUS Medical School  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,25]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005792-198001000-00003"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(87)90285-6"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(97)00030-5"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(76)90331-4"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.3109\/00365549009027098"},{"key":"e_1_2_7_7_1","first-page":"201","article-title":"A rare case of colon cancer with splenic abscess","volume":"84","author":"Cartanese C","year":"2013","journal-title":"Ann. 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