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Non operative splenic rupture

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https://www.readbyqxmd.com/read/29703013/treatment-of-hemangioma-of-the-spleen-by-preoperative-partial-splenic-embolization-plus-laparoscopic-partial-splenectomy-a-case-report
#1
Lu Zheng, Changlin Deng, Jing Li, Liang Wang, Nan You, Ke Wu, Weiwei Wang
RATIONALE: Complete loss of splenic function increases infection and cardiovascular disease risks, so there is growing emphasis on spleen-preserving treatments, such as laproscopic partial splenectomy (LPS). However, LPS carries higher risk for hemorrhage. Sequential splenic embolization can obliterate the perilesional vascular bed while preserving flow through healthy tissue, substantially reducing risk of uncontrolled hemorrhage during LPS. Preoperative partial splenic embolization (PSE) may soften the spleen and reduce its size, which enhances space exposure for laparoscopic operation...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29657728/can-we-predict-delayed-undesirable-events-after-blunt-injury-to-the-torso-visceral-organs
#2
Kenichiro Uchida, Yasumitsu Mizobata, Naohiro Hagawa, Tomonori Yamamoto, Shinichiro Kaga, Tomohiro Noda, Naoki Shinyama, Tetsuro Nishimura, Hiromasa Yamamoto
Aim: Blunt injuries to visceral organs have the potential to lead to delayed pseudoaneurysm formation or organ rupture, but current trauma and surgical guidelines do not recommend repetitive imaging. This study examined the incidence and timing of delayed undesirable events and established advisable timing for follow-up imaging and appropriate observational admission. Methods: Patients with blunt splenic (S), liver (L), or kidney (K) injury treated with non-operative management (NOM) in our institution were included and retrospectively reviewed...
April 2018: Acute Medicine & Surgery
https://www.readbyqxmd.com/read/29302375/laparoscopic-reinforcement-suture-lars-on-staple-line-of-duodenal-stump-using-barbed-suture-in-laparoscopic-gastrectomy-for-gastric-cancer-a-prospective-single-arm-phase-ii-study
#3
Min Chan Kim, Sang Yun Kim, Kwan Woo Kim
Purpose: Laparoscopic gastrectomy is accepted as a standard treatment for patients with early gastric cancer in Korea, Japan, and China. However, duodenal stump leakage remains a fatal complication after gastrectomy. We conducted a prospective phase II study to evaluate the safety of the new technique of laparoscopic reinforcement suture (LARS) on the duodenal stump. Materials and Methods: The estimated number of patients required for this study was 100 for a period of 18 months...
December 2017: Journal of Gastric Cancer
https://www.readbyqxmd.com/read/28770130/an-extremely-premature-neonate-with-severe-anemia
#4
Swosti Joshi, Ivy Mulinge, Medha Kamat
Spleen rupture in an extremely premature newborn is very rare event. High index of suspicion is required to make timely diagnosis and thereafter appropriate management. We present a rare case of an extremely premature, extremely low birthweight newborn who presented with severe anemia secondary to splenic rupture. It was managed conservatively without splenectomy resulting in complete resolution of symptoms. Although non-operative management of pediatric splenic injuries is now recognized as the treatment of choice, there is very little experience in premature newborns...
April 2017: Journal of Neonatal Surgery
https://www.readbyqxmd.com/read/28611565/shock-due-to-splenic-injury-after-colonoscopy
#5
Erol G Nallayici, Reinier de Groot, René A A van Zanten, Martijn F Lutke Holzik
Colonoscopy is a common and increasingly performed procedure. It is used both as a diagnostic and therapeutic modality. Splenic injury after colonoscopy is a rare, yet life-threatening complication, most often caused by traction on the splenocolic ligament or excessive manipulation during the procedure. Although non-operative treatment is preferred upon splenic injury, early surgical or radiological intervention may be necessary in specific cases, for example in case of haemodynamic instability. A 71-year-old Caucasian man was referred to our emergency room due to shock after colonoscopy 2 days earlier...
January 2017: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/28458860/cocaine-induced-splenic-rupture
#6
Aysha N Khan, Jesse T Casaubon, John Paul Regan, Leonora Monroe
Splenic rupture is a rare but serious complication from cocaine abuse. Given the ubiquitous prevalence of abuse and the potential for death from intraperitoneal bleeding, the prompt diagnosis and treatment of cocaine-induced disease including splenic rupture is essential. The management for splenic rupture from traumatic and atraumatic etiology has shifted from emergent laparotomy and splenectomy to non-operative approach with transcatheter splenic artery embolization. We report a 39-year-old male with a significant substance abuse history who presented with atraumatic splenic rupture...
March 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/27771684/non-operative-management-of-spontaneous-splenic-rupture-in-hemophilia
#7
Shyama Choudhary, Satyendra Khichar
No abstract text is available yet for this article.
October 8, 2016: Indian Pediatrics
https://www.readbyqxmd.com/read/27402320/management-of-splenic-and-pancreatic-trauma
#8
REVIEW
E Girard, J Abba, N Cristiano, M Siebert, S Barbois, C Létoublon, C Arvieux
The spleen and pancreas are at risk for injury during abdominal trauma. The spleen is more commonly injured because of its fragile structure and its position immediately beneath the ribs. Injury to the more deeply placed pancreas is classically characterized by discordance between the severity of pancreatic injury and its initial clinical expression. For the patient who presents with hemorrhagic shock and ultrasound evidence of major hemoperitoneum, urgent "damage control" laparotomy is essential; if splenic injury is the cause, prompt "hemostatic" splenectomy should be performed...
August 2016: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/26814956/doppler-ultrasound-for-the-assessment-of-conservatively-treated-blunt-splenic-injuries-a-prospective-study
#9
D Soffer, O Wiesel, C I Schulman, M Ben Haim, J M Klausner, A Kessler
INTRODUCTION: The type and need for follow-up of non-operatively managed blunt splenic injuries remain controversial. The use of Doppler ultrasound to identify post-traumatic splenic pseudoaneurysms, considered to be the main cause of "delayed" splenic rupture, has not been well described. PATIENTS AND METHODS: A 5-year prospective study was performed from 2004 to 2008. All patients with blunt splenic injury diagnosed with computerized tomography, who were treated non-operatively, were included in the study...
April 2011: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/26567865/management-of-blunt-splenic-injuries-retrospective-cohort-study-of-early-experiences-in-an-acute-care-surgery-service-recently-established
#10
Savino Occhionorelli, Lucia Morganti, Dario Andreotti, Lorenzo Cappellari, Rocco Stano, Mattia Portinari, Giorgio Vasquez
AIM: To identify patients with splenic injuries, who should benefit from a conservative treatment, and to compare inhospital follow-up and hospital length of stay (LOS), in patients treated by non-operative management (NOM) versus immediate-splenectomy (IS). MATERIAL OF STUDY: A retrospective cohort study on consecutive patients, with all grade of splenic injuries, admitted between November 2010 and December 2014 at the Acute Care Surgery Service of the S. Anna University Hospital of Ferrara...
2015: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/26563483/splenic-rupture-in-infectious-mononucleosis-a-systematic-review-of-published-case-reports
#11
REVIEW
A Bartlett, R Williams, M Hilton
INTRODUCTION: Infectious mononucleosis (IM) is a common viral illness that predominantly causes sore throat, fever and cervical lymphadenopathy in adolescents and young adults. Although usually a benign, self-limiting disease, it is associated with a small risk of splenic rupture, which can be life-threatening. It is common practice therefore to advise avoiding vigorous physical activity for at least 4-6 weeks, however this is not based on controlled trials or national guidelines. We reviewed published case reports of splenic rupture occurring in the context of IM in an attempt to ascertain common factors that may predict who is at risk...
March 2016: Injury
https://www.readbyqxmd.com/read/26330367/blunt-splenic-trauma-assessment-management-and-outcomes
#12
REVIEW
Moamena El-Matbouly, Gaby Jabbour, Ayman El-Menyar, Ruben Peralta, Husham Abdelrahman, Ahmad Zarour, Ammar Al-Hassani, Hassan Al-Thani
BACKGROUND: The approach for diagnosis and management of blunt splenic injury (BSI) has been considerably shifted towards non-operative management (NOM). We aimed to review the current practice for the evaluation, diagnosis and management of BSI. METHODS: A traditional narrative literature review was carried out using PubMed, MEDLINE and Google scholar search engines. We used the keywords "Traumatic Splenic injury", "Blunt splenic trauma", "management" between December 1954 and November 2014...
February 2016: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/26259408/splenic-artery-aneurysms-two-cases-of-varied-etiology-clinical-presentation-and-treatment-outcome
#13
Siniša Pejkić, Ivan Tomić, Dragan Opačić, Luka Pejinović, Nikica Grubor, Ilijas Činara, Lazar Davidović
INTRODUCTION: Splenic artery aneurysms are potentially lethal lesions. We report two illustrative cases and discuss etiology, diagnosis and treatment of these aneurysms. OUTLINE OF CASES: Both patients, age 31 and 80 years, were biparous women.The younger woman, otherwise healthy, was referred from a local hospital 3 weeks after she underwent a left subcostal laparotomy and exploration for symptomatic abdominal mass diagnosed by CT. Angiography established the diagnosis of a large, non-ruptured splenic artery aneurysm...
May 2015: Srpski Arhiv za Celokupno Lekarstvo
https://www.readbyqxmd.com/read/26164134/-pneumoperitoneum-due-to-splenic-abscess-a-diagnostic-challenge-case-report
#14
Emilio Peña-Ros, Marcelino Méndez-Martínez, María Vicente-Ruiz, Ángela Sánchez-Cifuentes, Nuria Martínez-Sanz, Antonio Albarracín Marín-Blázquez
BACKGROUND: Splenic abscess is a rare clinic entity, its incidence has increased due to the rising number of clinical conditions involving immunosuppression. Endocarditis is the most frequent cause, and gram-positive aerobes are the main causal agents. Its clinical presentation is non-specific and delays diagnosis. Computed tomography scan is the method of choice, and the treatment is based on antibiotics and drainage, radiological or surgical, involving splenectomy in special cases that require it...
September 2015: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/26158150/management-of-traumatic-splenic-rupture-in-adults-a-single-center-s-experience-in-mainland-china
#15
COMPARATIVE STUDY
Shiping Liu, Jianyong Lei, Zhi Zeng, Yun Zhang
BACKGROUND/AIMS: We evaluated the effectiveness of various therapies to treat the traumatic splenic rupture by using data from our single center. METHODOLOGY: From July 2008 to Jan 2014, 125 patients who were diagnosis spleen rupture without other organ injury were included into our present study. We divided these patients into two groups according to the managements of the splenic rupture: the operative management (OM) group (48 patients) and the non-operative management (NOM) group (77 patients)...
June 2014: Hepato-gastroenterology
https://www.readbyqxmd.com/read/25531632/-strategies-for-paediatric-spleen-and-liver-injuries
#16
REVIEW
S Zundel, J Lieber, I Tsiflikas, A-K Henk, P Schmittenbecher
Traumatic injuries of the spleen and liver are typically caused by age-related falls or sports and traffic accidents. Today, the non-operative management for isolated injuries is established and evidence-based guidelines are available. The intact abdominal wall and the limited space within the peritoneum produce a compression which is the pathophysiological explanation for the limitation of the haemorrhage. Precondition for the non-operative therapy is the radiology-based classification of the injury (organ injury scale) and a haemodynamically stable patient...
December 2014: Zentralblatt Für Chirurgie
https://www.readbyqxmd.com/read/24971224/uncommon-locations-and-presentations-of-hydatid-cyst
#17
S Sachar, S Goyal, S Goyal, S Sangwan
BACKGROUND: Hydatid disease (HD) is an ancient disease and even was known to Hippocrates. This disease involves all human parts and most common affected organs are liver and lungs. Incidence of unusual site is about 8-10%. The clinical picture depends upon the involved organs, its effects on adjacent structures, complications due to secondary infection, rupture, and anaphylaxis caused by hydatid cysts. AIM: The aim of this study was to find out incidence of unusual location of hydatid cyst in the human body...
May 2014: Annals of Medical and Health Sciences Research
https://www.readbyqxmd.com/read/24847410/spontaneous-non-traumatic-massive-intraabdominal-spleen-bleeding-in-young-females-importance-of-atls-principles-and-trauma-alarm
#18
Airazat M Kazaryan, Joachim Wiborg, Kristin Hauss, Tommy K Anundsen, Olav J Flemmen, Thor Erik Holm, Giedrius Lauzikas
PATIENT: Female, 28 FINAL DIAGNOSIS: Rupture of the splenic artery aneurysm Symptoms: Hypovolemic shock Medication: - Clinical Procedure: - Specialty: Surgery. OBJECTIVE: Rare disease. BACKGROUND: ATLS principles have become a standard of care for trauma patients. However, there is poor documentation in regard to spontaneous non-traumatic life-threatening bleedings. CASE REPORT: Two women, a 21-year-old and a 28-year-old, presented to the admissions department in hemorrhagic shock...
2014: American Journal of Case Reports
https://www.readbyqxmd.com/read/24701254/grade-iv-blunt-splenic-injury-the-role-of-proximal-angioembolization-a-case-report-and-review-of-literature
#19
REVIEW
I Gheju, M D Venter, M Beuran, L Gulie, I Racoveanu, P Carstea, I Iftimie Nastase, D P Venter
The authors present a case of grade IV traumatic spleen rupture (AAST-OIS) and an Injury Severity Score of 21 and a Revised Trauma Score RTS=7.841, which was managed without surgery, but with proximal splenic angioembolization (SAE), with a positive outcome. Indications, types and side-effects of SAE are also discussed with regard to blunt spleen trauma and the benefits of SAE as non-operative treatment approach. It is the first case of a grade IV splenic laceration non-operatively managed to be published in Romania...
2013: Journal of Medicine and Life
https://www.readbyqxmd.com/read/24510039/angiografic-and-pressoric-changes-determined-by-splenectomy-with-left-gastric-vein-ligature-in-mansoni-schistosomiasis
#20
Fernanda Maria Fernández Pereira, João Evangelista-Neto, Norma Brito, Fernando Amaral, Olival Cirilo Lucena da Fonseca-Neto, Cláudio Moura Lacerda
BACKGROUND: In hepatosplenic schistosomiasis occurs diffuse hepatic fibrosis associated with venous congestion of the portal system resulting in hepatosplenomegaly. It can produce digestive hemorrhage caused by rupture of esophageal and stomach varices or peptic gastroduodenal mucosal lesions. AIM: To study the effects of splenectomy and ligature of the left gastric vein on portohepatic hemodynamics. METHOD: Twenty-three patients with hepatosplenic schistosomiasis mansoni were studied before and about two weeks after operation through angiographic diameter of the common and proper hepatic artery, splenic artery, superior mesenteric artery, portal vein, superior mesenteric vein and left gastric vein...
November 2013: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
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