Accessory spleen - In clinical perspective

Nivargi, Shubha; R., Kirankumar; Kulkarni, Umesh K; Hukkeri, V B

doi:10.4103/2277-4025.297388

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…Resistant isolates would not be covered by standard penicillin-based regimens. 18,21,26 This is not a common practice in adults in the United States. 27,28 Patients at high risk for infection, such as the elderly, those with previous post-splenectomy infection, failure to respond to pneumococcal vaccination, immunocompromised conditions other than splenectomy, or those treated with immunosuppression agents, should be evaluated for the risks and benefits of prophylaxis.…”

Section: Antibiotic Prophylaxismentioning

confidence: 99%

Primary Care of the Blunt Splenic Injured Adult

Yorkgitis

2017

The American Journal of Medicine

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The spleen is the most commonly injured abdominal organ in blunt trauma. Immediate treatment is aimed at assessing for bleeding and abating it when it is severe. Methods for the management of blunt splenic injury-associated bleeding include observation, splenectomy, and splenic salvage procedures through splenorrhaphy or embolization. After blunt splenic injury, complications commonly occur, including bleeding, infection, thrombosis, and pneumonia. If a patient undergoes splenectomy, infections can be severe. To mitigate infectious complications after splenectomy, vaccination against common pathogens remains paramount. Patients may often present to their primary care provider with complaints related to splenic injury or long-term care of their immunocompromised state. Knowledge of the spleen's function, as well as common complications and risks, is important to physicians caring for splenic injury patients. This narrative review provides clinicians an understanding of the spleen's immune function and management strategies for patients sustaining blunt splenic injury.

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Section: Antibiotic Prophylaxismentioning

confidence: 99%

Primary Care of the Blunt Splenic Injured Adult

Yorkgitis

2017

The American Journal of Medicine

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“…The location of the accessory spleen varies from the splenic hilum to any area in the abdominal cavity which sometimes causes complications of misdiagnosis due to the mimicry of the accessory spleen to tumors or lymphadenopathy for the radiologists (Nivargi et al, 2014). Therefore, the possibility of an accessory spleen is important to consider when reviewing a CT scan before performing abdominal surgeries.…”

Section: Discussionmentioning

confidence: 99%

Spleen anatomic variations in the context of morphology

Baimai,

Chaiwichayanant,

Sricharoenvej

et al. 2024

EJA

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The immune and hematopoietic systems in the human body depend on the spleen. The understanding of anatomical and morphological variations of the spleen and its arterial vascular segments (AVS) is crucial for performing whole or partial splenectomy in the treatment of splenomegaly and splenic rupture. The aim of this study was to compare the anatomical differences in the spleen and its AVS in Thai cadavers of both sexes. This cadaveric study was performed on 77 cadaveric spleens (males = 38 and females = 39) from the Gross Anatomy Laboratory at the Department of Anatomy, Faculty of Medicine Siriraj Hospital, Mahidol University. The average morphological measures of the observed spleens were 9.11±1.40 cm in length, 6.57±1.46 cm in width, 3.11±0.67 cm in thickness in male cadavers, and 8.77±1.87 cm in length, 5.91±1.35 cm in width, and 2.90±0.78 cm in thickness in female cadavers. The variations in spleen form were 7.79% oval, 16.88% tetrahedral, 28.57% triangular, and 46.75% wedge. The mean splenic hilum length was 5.14±1.10 cm in males and 5.12±1.22 cm in females. The mean lobar branch to hilum distance was 2.26±0.98 cm in males and 2.29±1.05 cm in females. Females were more likely than males to have two lobar arteries. Three lobar arteries, however, were more prevalent in males. The occurrence of accessory spleens was 2.63% for males and 7.50% for females. According to the data, there were significant differences in the number of lobar arteries and spleen size between male and female Thai cadavers.

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Accessory spleen - In clinical perspective

Cited by 2 publications

References 6 publications

Primary Care of the Blunt Splenic Injured Adult

Primary Care of the Blunt Splenic Injured Adult

Spleen anatomic variations in the context of morphology

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