Document Detail

Asymptomatic partial splenic infarction in laparoscopic floppy nissen fundoplication and brief literature review.
MedLine Citation:
PMID:  24833155     Owner:  NLM     Status:  In-Data-Review    
Abstract Short gastric vessels are divided during the laparoscopic Nissen fundoplication resulting in splenic infarct in some cases. We report a case of laparoscopic floppy Nissen fundoplication with splenic infarct that was recognized during the procedure and provide a brief literature review. The patient underwent a laparoscopic floppy Nissen fundoplication. We observed a partial infarction of the spleen. She reported no pain. A follow-up computed tomography scan showed an infarct, and a 3-month abdominal ultrasound showed complete resolution. Peripheral splenic arterial branches have very little collateral circulation. When these vessels are occluded or injured, an area of infarction will occur immediately. Management strategies included a trial of conservative management and splenectomy for persistent symptoms or complications resulting from splenic infarct. In conclusion, we believe that the real incidence is probably much higher because many cases of SI may have gone undiagnosed during or following an operation, because some patients are asymptomatic. We propose to check spleen carefully for the possibility of splenic infarct.
Mehmet Odabasi; Haci Hasan Abuoglu; Cem Arslan; Emre Gunay; Mehmet Kamil Yildiz; Cengiz Eris; Erkan Ozkan; Ali Aktekin; Tolga Muftuoglu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International surgery     Volume:  99     ISSN:  0020-8868     ISO Abbreviation:  Int Surg     Publication Date:    2014 May-Jun
Date Detail:
Created Date:  2014-05-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0043524     Medline TA:  Int Surg     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  291-4     Citation Subset:  IM    
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