{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T14:30:43Z","timestamp":1782484243294,"version":"3.54.5"},"reference-count":5,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Primary splenic abscess is rare and typically presents in patients who are immunocompromised. We present a case of a 47-year-old apparently immunocompetent female patient who was diagnosed with primary splenic abscess from a <jats:italic>Salmonella<\/jats:italic> Typhimurium infection following emergency laparotomy.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 47-year-old female patient presented with subjective fever and severe epigastric and left flank pain. She was treated empirically with intravenous piperacillin\/tazobactam and gentamicin and was resuscitated with intravenous crystalloid infusion. A radiological diagnosis of splenic infarct secondary to splenic artery aneurysm superimposed with splenic abscess was presumed, however at emergency laparotomy, primary splenic abscess was identified. This abscess had eroded the left hemidiaphragm and had ruptured the splenic capsule leading to intra-abdominal pus in the pelvis which on culture grew <jats:italic>Salmonella<\/jats:italic> Typhimurium. A splenectomy and primary repair of the left hemidiaphragm were performed, with postoperative pancreatitis diagnosed following the procedure. After intensive care treatment, this patient made a full recovery.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>This case of primary splenic abscess was treated successfully with a combination of surgery (i.e.: splenectomy and surgical drainage), prolonged antimicrobial therapy, and intensive care in the perioperative period.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-024-01849-2","type":"journal-article","created":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T06:03:07Z","timestamp":1709272987000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Primary splenic abscess in an adult female patient: a case report"],"prefix":"10.1186","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-5514-8576","authenticated-orcid":false,"given":"Burce","family":"Isik","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew G.","family":"Davey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Gaffney","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick J.","family":"Stapleton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Mohigefer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Efthymios","family":"Koutroumanos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,3,1]]},"reference":[{"key":"1849_CR1","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1007\/978-3-642-73199-0_5","volume-title":"Ultrasonography of the spleen","author":"C Anagnostoupoulos","year":"1988","unstructured":"Anagnostoupoulos C, Jacquenod P, Chagnon S, Bl\u00e9ry M. Splenic abscess and infarction. In: Bruneton J-N, Benozio M, Bl\u00e9ry M, Gharbi HA, Senecail B, Tran-Minh V, editors. Ultrasonography of the spleen. Berlin, Heidelberg: Springer; 1988. p. 63\u20139."},{"issue":"2","key":"1849_CR2","doi-asserted-by":"publisher","first-page":"288","DOI":"10.3349\/ymj.2011.52.2.288","volume":"52","author":"WS Lee","year":"2011","unstructured":"Lee WS, Choi ST, Kim KK. Splenic abscess: a single institution study and review of the literature. Yonsei Med J. 2011;52(2):288.","journal-title":"Yonsei Med J"},{"issue":"5","key":"1849_CR3","doi-asserted-by":"publisher","first-page":"537","DOI":"10.1016\/j.ejim.2009.04.009","volume":"20","author":"J Llenas-Garc\u00eda","year":"2009","unstructured":"Llenas-Garc\u00eda J, Fern\u00e1ndez-Ruiz M, Caurcel L, Enguita-Valls A, Vila-Santos J, Guerra-Vales JM. Splenic abscess: a review of 22 cases in a single institution. Eur J Intern Med. 2009;20(5):537\u20139.","journal-title":"Eur J Intern Med"},{"key":"1849_CR4","doi-asserted-by":"publisher","first-page":"1635","DOI":"10.1016\/B978-0-323-40232-3.00141-2","volume-title":"Shackelford\u2019s Surgery of the alimentary tract, 2 volume set","author":"RL Smoot","year":"2019","unstructured":"Smoot RL, Truty MJ, Nagorney DM. Splenectomy for conditions other than trauma. In: Yeo CJ, editor. Shackelford\u2019s Surgery of the alimentary tract, 2 volume set. Amsterdam: Elsevier; 2019. p. 1635\u201353."},{"issue":"2","key":"1849_CR5","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1086\/318457","volume":"32","author":"D Acheson","year":"2001","unstructured":"Acheson D, Hohmann EL. Nontyphoidal salmonellosis. Clin Infect Dis. 2001;32(2):263\u20139.","journal-title":"Clin Infect Dis"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-01849-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-024-01849-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-01849-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T06:07:05Z","timestamp":1709273225000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-024-01849-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,1]]},"references-count":5,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["1849"],"URL":"https:\/\/doi.org\/10.1186\/s40792-024-01849-2","relation":{},"ISSN":["2198-7793"],"issn-type":[{"value":"2198-7793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,1]]},"assertion":[{"value":"30 November 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 February 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 March 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Informed consent was obtained from the patient.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"50"}}