BACKGROUND Grade III through V splenic injuries as defined by the American Association for the Surgery of Trauma (AAST) grading scale are associated with hemorrhage and nonoperative failure. Embolization has been reported to reduce splenic bleeding in 50% to 75% of patients with a high-grade injury. However, splenectomy following embolization may be necessary in patients who continue to bleed o...

Splenic abscess is an uncommon but potentially life-threatening disease that generally occurs in patients with neoplasia, immunodeficiency, hemoglobinopathies, trauma, metastatic infection, splenic infarction and diabetes. Splenic abscess should be considered in a patient with fever, left upper abdominal pain, and leukocytosis. Splenectomy has been the gold standard treatment for splenic absces...

Pancreatitis may be complicated with a spectrum of arterial and venous abnormalities. Arterial complications most frequently involve formation of a pseudoaneurysm [1]. Less frequently, pancreatitis causes arterial thrombotic occlusion, which can lead to splenic or gastrointestinal infarction. Venous complications are relatively common and are related to splanchnic vein thrombosis. The splenic v...

While splenic complications like hypersplenism, sequestration crisis, and infarction are commonly reported in sickle cell variants like sickle cell beta-plus thalassemia, splenic rupture with hematoma is rare. We present a case of a 32-year-old young male who presented with dull left upper quadrant pain who was found to have multiple subcapsular splenic lacerations and hematoma on abdominal ima...

Wandering spleen or hypermobile results from the elongation maldevelopment of spleen’s suspensory ligaments. It is rare clinical entity with fewer cases reports worldwide. found mostly in children and adult it said to be common females reproductive age group. Its presentation different asymptomatic palpable abdominal mass, intermittent discomfort due torsion spontaneous detorsion acute abdomen ...

UNLABELLED Current recommendations for early anticoagulation in acute portal vein thrombosis unrelated to cirrhosis or malignancy are based on limited evidence. The aim of this study was to prospectively assess the risk factors, outcome, and prognosis in patients managed according to these recommendations. We enrolled 102 patients with acute thrombosis of the portal vein, or its left or right b...

Effect of Immue-21 (an herbal immunomodulator) was studied on different immunopharmacological models. Immue-21 significantly enhanced the mobilization and functional capacity of peritoneal macrophages of experimental animals. An elevated blastofenic response of splenic lymphocytes was observed in Immue-21 treated mice. The potential to modulate the immunity in general by Immue-21 assumes consid...

Correspondence To the Editor: A 17-year-old Chinese male patient without any medical history presented to The First Affiliated Hospital of Nanchang University. His initial symptoms were abdominal pain and progressive edema. The pain presented initially around umbilical area and then progressed to left upper quadrant of the abdomen. His physical examination revealed that he had mild edema of the...

Disseminated infection with Aspergillus terreus is a rare disease that affects only the immunocompromised host. We report a case of systemic infection with A. terreus resulting in endocarditis, aortic embolization, and splenic infarction in a patient with acute lymphoblastic leukemia. Diagnosis through peripheral blood culture, lack of pulmonary involvement, and onset of disease during complete...

Ultrasonography and computed tomography scan with hypo echoic areas diagnosed a splenic infarction in a Salmonella typhi infected 30-year-old man with painful hypochondrium and epigastrium. An antibiotic recipe of ceftriaxone and amikacin resulted in recovery. Imaging techniques contribute remarkably to a rapid diagnosis and rational management of the extra intestinal lesions attributable to th...