Splenic injuries constitute the most common injuries accompanying blunt abdominal traumas. Non-operative treatment is currently the standard for treating hemodynamically stable patients with blunt splenic injuries. The introduction of splenic angiography has increased the possibility of non-operative treatment for patients who, in the past, would have qualified for surgery. This cohort includes...

Historically, the treatment of splenic rupture has been splenectomy. With the emergence of splenic conservation in splenic trauma, similar concept has been applied to spontaneous rupture in other conditions. There are only few case reports of isolated splenic rupture in patients with hemophilia managed operatively with splenectomy [1,2]. Here, we describe the successful non-surgical management ...

To cite: Rowe CM, Spillane C, Winterton D, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016216196 DESCRIPTION A 38-year-old man attended accident and emergency department (A and E) reporting of a 2-week history of fever and rigors, vomiting and left flank pain. The patient had a medical history of hypertension and obesity, but denied being diabetic and ...

While tuberculosis is always to be kept in mind in Smith of Ann Arbor, in report ing 23 cases in children up to BY making a diagnosis when a pa* ' «... -^ years of age, found only two tient presents himself with obsDenver Colorado females, while in six years at cure pulmonary or other suggestive signs and symptoms, nevertheless tuberculosis frequently becomes a dumping ground for numerous vague...

Cellular immunity to Mycobacterium tuberculosis (Mtb) requires a coordinated response between the innate and adaptive arms of the immune system, resulting in a type 1 cytokine response, which is associated with control of infection. The contribution of innate lymphocytes to immunity against Mtb remains controversial. We established an in vitro system to study this question. Interferon-gamma is ...

upper quadrant spherical cystic mass with a smooth wall. Normal splenic tissue is visualized around all or part of the cyst. Indications for surgical treatment of splenic cysts include all symptomatic cysts and cysts larger than 5 cm [2] . In our case, a safe complete total splenectomy was performed because an infected primary cyst could not be ruled out and the cyst was located in the splenic ...

AIM The object of this study is to describe the appearance, complications, and outcome of segmental splenic infarctions occurring after blunt trauma using computed tomography (CT). MATERIALS AND METHODS Thirteen blunt trauma patients were identified with splenic infarction on contrast-enhanced CT. CT images were retrospectively reviewed and the percentage of infarcted splenic tissue and prese...

OBJECTIVE To quantitatively assess the degree and rate of splenic enlargement and the time required for regression of splenic enlargement in collegiate athletes diagnosed with acute infectious mononucleosis (IM). DESIGN Prospective cohort study. SETTING Academic Medical Center(s) outpatient sports medicine clinic. STUDY PARTICIPANTS Volunteer Division I University athletes. INTERVENTION...

Ganta, Chanran K., Bryan G. Helwig, Frank Blecha, Roman R. Ganta, Richard Cober, Sujatha Parimi, Timothy I. Musch, Richard J. Fels, and Michael J. Kenney. Hypothermia-enhanced splenic cytokine gene expression is independent of the sympathetic nervous system. Am J Physiol Regul Integr Comp Physiol 291: R558–R565, 2006. First published February 9, 2006; doi:10.1152/ajpregu.00846.2005.— Splenic ne...