Complicated Splenic Abscess Presenting with Cholestatic Jaundice and Fatal Septic Shock in a Diabetic Patient: A Case Report and Review of the Literature
Fuente:
Zenodo
Gespeichert in:
| Hauptverfasser: | , , , , , , , , |
|---|---|
| Format: | Recurso digital |
| Sprache: | Englisch |
| Veröffentlicht: |
Zenodo
2026
|
| Schlagworte: | |
| Online-Zugang: | |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| _version_ | 1866902249041559552 |
|---|---|
| author | Ettaoussi Abdelhak El Mkhalet Majda Adri Hamza Bouali Ichrak Kamal Khadija Abdessamad Majd Bouali Mounir El Bakouri Abdelillah El Hattabi Khalid |
| author_facet | Ettaoussi Abdelhak El Mkhalet Majda Adri Hamza Bouali Ichrak Kamal Khadija Abdessamad Majd Bouali Mounir El Bakouri Abdelillah El Hattabi Khalid |
| contents | <p>Background: Splenic abscess is a rare but potentially fatal condition. Its diagnosis is often delayed because of non-specific clinical manifestations, particularly in immunocompromised patients. Diabetes mellitus is a recognized risk factor.<br>Case presentation: We report the case of a middle-aged diabetic patient who presented with prolonged abdominal pain, cholestatic jaundice, and systemic inflammatory response. Imaging revealed splenomegaly with a large heterogeneous splenic lesion associated with a peri-splenic collection containing air bubbles, suggestive of a complicated splenic abscess. Emergency splenectomy and drainage were performed; however, the patient rapidly deteriorated and died on postoperative day one due to refractory septic shock.<br>Conclusion: This case highlights the diagnostic challenges, rapid progression, and high mortality associated with splenic abscesses in diabetic patients. Early recognition, aggressive resuscitation, and timely intervention are crucial to improving outcomes.</p> |
| format | Recurso digital |
| id | zenodo_https___doi_org_10_5281_zenodo_19277095 |
| institution | Zenodo |
| language | eng |
| publishDate | 2026 |
| publisher | Zenodo |
| record_format | zenodo |
| spellingShingle | Complicated Splenic Abscess Presenting with Cholestatic Jaundice and Fatal Septic Shock in a Diabetic Patient: A Case Report and Review of the Literature Ettaoussi Abdelhak El Mkhalet Majda Adri Hamza Bouali Ichrak Kamal Khadija Abdessamad Majd Bouali Mounir El Bakouri Abdelillah El Hattabi Khalid Splenic abscess; Diabetes mellitus; Septic shock; Splenectomy; Cholestatic jaundice <p>Background: Splenic abscess is a rare but potentially fatal condition. Its diagnosis is often delayed because of non-specific clinical manifestations, particularly in immunocompromised patients. Diabetes mellitus is a recognized risk factor.<br>Case presentation: We report the case of a middle-aged diabetic patient who presented with prolonged abdominal pain, cholestatic jaundice, and systemic inflammatory response. Imaging revealed splenomegaly with a large heterogeneous splenic lesion associated with a peri-splenic collection containing air bubbles, suggestive of a complicated splenic abscess. Emergency splenectomy and drainage were performed; however, the patient rapidly deteriorated and died on postoperative day one due to refractory septic shock.<br>Conclusion: This case highlights the diagnostic challenges, rapid progression, and high mortality associated with splenic abscesses in diabetic patients. Early recognition, aggressive resuscitation, and timely intervention are crucial to improving outcomes.</p> |
| title | Complicated Splenic Abscess Presenting with Cholestatic Jaundice and Fatal Septic Shock in a Diabetic Patient: A Case Report and Review of the Literature |
| topic | Splenic abscess; Diabetes mellitus; Septic shock; Splenectomy; Cholestatic jaundice |
| url | https://doi.org/10.5281/zenodo.19277095 |