Splenosis after laparoscopic splenectomy

Losanoff, Julian E.; Jones, James W.

doi:10.1007/s00464-001-8180-0

Cited by 19 publications

(13 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The mechanism of spread of splenic fragments is believed to be either by a direct seeding process onto adjacent surfaces or by hematological spread to distant organs such as the liver, breast, and brain [ 10 , 11 ]. In support of the seeding process hypothesis, splenosis deposits are found in the chest in cases of traumatic diaphragmatic rupture exclusively in the left hemithorax, in subcutaneous locations where port sites were introduced, and in exit wounds after gunshot wounds that involved the spleen [ 1 , 7 , 12 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

Splenosis: A Rare Etiology for Bowel Obstruction—A Case Report and Review of the Literature

Younan

Wills

Hafner

2015

Case Reports in Surgery

View full text Add to dashboard Cite

Splenosis is a historically uncommon etiology for bowel obstruction. Autotransplanted splenic tissues following surgery or trauma of the spleen are known to occur in multiple locations of the abdominal cavity and pelvis. The small bowel mesentery is a blood vessel-rich environment for growth of splenic fragments. We present a case of a 36-year-old male patient who sustained a gunshot wound to his left abdomen requiring a splenectomy and bowel resection fifteen years prior to his presentation with small bowel obstruction requiring exploration, adhesiolysis, and resection of the mesenteric splenic deposit. Our aim in this report is to provide awareness of splenosis as an etiology for bowel obstruction, especially with increased incidence and survival following abdominal traumas requiring splenectomies. We also stress on the importance of history and physical examination to include splenosis on the list of differential diagnoses for bowel obstruction.

show abstract

Section: Discussionmentioning

confidence: 99%

Splenosis: A Rare Etiology for Bowel Obstruction—A Case Report and Review of the Literature

Younan

Wills

Hafner

2015

Case Reports in Surgery

View full text Add to dashboard Cite

show abstract

“…Częstość występowania splenozy brzusznej w ogólnej populacji nie jest znana. Według szacunkowych danych może ona dotyczyć około 1/3 osób po przebytej splenektomii z powodu urazu (ocena na podstawie niepatognomonicznego obrazu ultrasonograficznego, bez potwierdzenia histopatologicznego) [10], jednak według innych źródeł odsetek ten może sięgać nawet ponad 60% [11].…”

Section: Computed Tomography Scan Of the Abdominal Cavity In A 54-yunclassified

Abdominal splenosis with clinical presentation of metastatic neoplastic disease

Ksiądzyna¹

2010

View full text Add to dashboard Cite

“…In ca. 15-30 % der Fälle existieren Nebenmilzen, auch akzessorische Milzen oder Splenunculi, die üblicherweise zwischen 1 und 2 cm groß sind, in seltenen Fällen auch bis zu 5 cm [27]. Diese Nebenmilzen müssen bei Hypersplenismus unbedingt mitentfernt werden, da es sonst zu Rezidiven kommen kann [5,9].…”

Section: Diskussionunclassified

“…Wir verzeichneten bei 2 Patienten Nebenmilzen, die entfernt wurden. Häufige Lokalisationen sind Milzarterie, Pankreasschwanz, Ligamentum colicolienale, Omentum majus, Mesenterium, Adnexen, kleines Becken [27]. Nebenmilzen im Pankreasschwanz, die teilweise in das Pankreasparenchym eingebettet sind, lassen sich häufig weder bei der offen-chirurgischen noch bei der laparoskopischen Splenektomie finden [27,28].…”

Section: Diskussionunclassified

Laparoskopische Splenektomie - Technik und Ergebnisse

Pross¹,

Wolff²,

Wex³

et al. 2005

Viszeralchirurgie

View full text Add to dashboard Cite

ZusammenfassungDie laparoskopische Splenektomie entwickelte sich zum Standardverfahren bei bestimmten Indikationsgruppen, insbesondere bei hämatologischen Erkrankungen. Patienten und Methode: Im Zeitraum vom Juni 1997 bis Juli 2005 führten wir 32 laparoskopische Splenektomien durch. Es wurde der anteriore Zugang mit wahlweise 3 oder 4 Trokaren gewählt. Ergebnisse: Die folgenden Erkrankungen stellten Indikationen zur Operation dar: idiopathische thrombozytopenische Purpura (n = 18), NonHodgkin-Lymphome (n = 7), Milzhämangiom (n = 2 ), Sphäro-zytose (n = 3), Hypersplenismus (n = 1), verkalkte Milzzyste (n = 1). Die mediane Operationszeit betrug 100 min (40-175 min ). Bei 5 Patienten (15,6 %) musste intraoperativ konvertiert werden. Die häufigste intraoperative und postoperative Komplikation stellte die Blutung dar. 2 Patienten entwickelten eine Thrombose der V. portae. Schlussfolgerung: Die laparoskopische Splenektomie stellt ein alternatives Verfahren zur konventionellen Splenektomie dar. Die Methode ist sicher und mit einer geringen Komplikationsdichte durchführbar. Sie stellt mittlerweile das Standardverfahren zur Entfernung der Milz bei hämatologischen Erkrankungen dar. Wegen der Gefahr der Pfortaderthrombose sollte eine postoperative verlängerte Thromboseprophylaxe durchgeführt werden. Schlüsselwörter AbstractLaparoscopic splenectomy is considered as standard approach for specific indications, especially hematologic diseases. Patients and methods: Between June 1997 and July 2005 we performed 32 laparoscopic splenectomies. We chose for anterior approach with alternatively 3 or 4 trocars. Results: Following diseases are indications for laparoscopic operation: idiopathic thrombozytopenic purpura (n = 18), Non-Hodgkin-Lymphoma (n = 7), splenic hemangioma (n = 2), spherocytosis (n = 3), hypersplenism (n = 1), calcified splenic cyst (n = 1). Median operation time amounts 100 min (40-175 min). Intraoperative conversion was necessary in 5 patients (15,6 %). Bleeding appears as most frequent intraoperative and postoperative complication was. In 2 patients thrombosis of vena portae developed. Conclusions: Laparoscopic splenectomy represent alternative procedure to conventional splenectomy. Method is feasible sure with low complication rate and is considered as standard approach in removing the spleen in hematologic diseases. Because of the risk of postoperative thrombosis of the vena portae extended thrombosis prophylaxis should be performed.

show abstract

Splenosis after laparoscopic splenectomy

Cited by 19 publications

References 9 publications

Splenosis: A Rare Etiology for Bowel Obstruction—A Case Report and Review of the Literature

Splenosis: A Rare Etiology for Bowel Obstruction—A Case Report and Review of the Literature

Abdominal splenosis with clinical presentation of metastatic neoplastic disease

Laparoskopische Splenektomie - Technik und Ergebnisse

Contact Info

Product

Resources

About