INTRODUCTION Hypersplenism in cirrhosis is not infrequent and may compromise with quality of life and therapy. Splenectomy is a therapeutic option, but information on results of splenectomy is scarce. MATERIAL AND METHODS Consecutive patients with cirrhosis who underwent splenectomy between 2001-2010 were included in the study. Safety, efficacy of splenectomy and subsequent influence on thera...

BACKGROUND We describe our experience with what is, to our knowledge, the first case of robotic assisted ex vivo partial splenectomy with auto-transplantation for a benign non parasitic cyst. MATERIALS AND METHODS The patient is a 32 year-old female with a giant, benign splenic cyst causing persistent abdominal pain. Preoperative imaging showed a cystic lesion measuring 8.3 × 7.6 cm, in the m...

Treatment of severe Immune Thrombocytopenic purpura (ITP) accompanied by life-threatening bleeding events is challenging and a combination of treatment measures should be undertaken to rapidly increase the platelet count. Herein, we report a case of severe ITP in a seven-year-old boy who suffered from massive bleeding which was totally unresponsive to conventional therapeutic interventions. Sin...

hydatid disease has a worldwide spreading. the most common site of the disease is the liver, lungs, kidney, bones, and brain. splenic hydatid disease has been reported to constitute 2% to 6% of patients with abdominal hydatid disease. because of the rarity of splenic hydatid disease, the probable concomitance of the liver and splenic hydatid cysts should be taken into consideration by clinician...

wandering spleen is an uncommon entity in adults and has been described only rarely with sigmoid volvulus, that rarely affects children and adolescents. it is usually described in adults.wandering spleen characterized by the abnormal location of the spleen, caused by incomplete fusion of the four primary splenic ligaments, allowing the spleen to be mobile within the abdomen.the wandering spleen...

conclusions the association of horseshoe kidney with a wandering spleen in this case may be due to an embryological anomaly. introduction a wandering spleen occurs when there is a laxity of the ligaments that fix the spleen in its normal anatomical position. case presentation this is a case report of a wandering spleen with horseshoe kidney in a 29-year-old male admitted with acute lower abdomi...

Idiopathic thrombocytopenic purpura (ITP) is an isolated thrombocyte disease that has no correlation with other causes of clinical thrombocytopenia in adults. About 70% of patients with ITP were successfully treated by medical care and splenectomy, but nearly 30% of ITP patients do not respond to these treatments. The aim of this study is to evaluate the predictive factors that affect the succe...

INTRODUCTION The management of splenic injuries has shifted from splenectomy to splenic preservation owing to the risk of overwhelming post-splenectomy infection (OPSI). This study aimed to identify the factors that determine splenectomy in patients with isolated splenic injuries, with a view to increasing the rate of splenic preservation. PATIENTS AND METHODS Files of 55 patients managed for...

Background: Laparoscopic splenectomy is evolving procedure and is now considered the procedure of choice in elective splenectomy by many centers, but technically demanding especially in large sized ones. Our aim was to evaluate the outcome of laparoscopic splenectomy for a variety of benign splenic disorders in our early experience. Patients and Methods: This prospective study was carried out o...