Modern surgery, general and operative . tures, with 99 recoveriesand 51 deaths, a mortality of 34 per cent. Abscess of the spleen is a rare condition which is usually metastaticin origin. It may follow typhoid, may develop during pyemia, or may resultfrom injury. Chronic suppuration may be due to tuberculosis or actinomy-cosis. Pain is felt, and enlargement is noted in the splenic region, and thesymptoms of pyemia exist. The abscess may become adherent to the belly wall,may become encapsulated, or may rupture into a viscus or the peritoneal can seldom be obtained. What is kn
Modern surgery, general and operative . tures, with 99 recoveriesand 51 deaths, a mortality of 34 per cent. Abscess of the spleen is a rare condition which is usually metastaticin origin. It may follow typhoid, may develop during pyemia, or may resultfrom injury. Chronic suppuration may be due to tuberculosis or actinomy-cosis. Pain is felt, and enlargement is noted in the splenic region, and thesymptoms of pyemia exist. The abscess may become adherent to the belly wall,may become encapsulated, or may rupture into a viscus or the peritoneal can seldom be obtained. What is known as a tropical abscess(Fontoynant and Jourdrau, in Archiv. Prov. de Chir., No. 11, 1902) maydevelop during a malarial attack as a result of severe exertion. There are severepain in the left hypochondrium, dyspnea, and dry tongue. There may or maynot be fever. The pus may be sterile. The treatment of abscess of the spleen consists in incising the abdomenat the outer edge of the left rectus muscle, suturing the spleen to the abdominal. Fig 621.—Fauntleroys case of rupturedspleen. External surface. Treatment of Splenoptosis, or Wandering Spleen 1065 wall, opening the abscess, and providing for drainage (Tedenat^. If theabscess is adherent to the abdominal wall, incise it directly. Splenectomy hasbeen performed for abscess. In 9 recorded cases of splenectomy for abscessthere was i death (George Ben Johnston, paper read before Johns HopkinsMed. Soc, ]Mar. 2, 1908). Enlargements and Tumors of the Spleen.—(See RoyaleH. Fowler, inLong Island Med. Jour., July, 1911.) The spleen undergoes hypertrophyin the course of infectious disease, from amyloid disease, from malaria, fromsplenic anemia, from tuberculosis, from leukemia, and from Hodgkins cancer is seen after cancer of the stomach. Genuine primarytumors are extremely rare. Fibroma, enchondroma, hemangioma, lymphan-gioma, angioma, and sarcoma occasionally develop. Jepson and Albert re-ported a case of primary s
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