Document Detail

Recurrent hypersplenism caused by giant accessory spleen due to portal hypertension after splenectomia.
MedLine Citation:
PMID:  19995153     Owner:  NLM     Status:  MEDLINE    
Splenectomy is one of the primary choices of treatment in immune thrombocytopenic purpura. However, the disease may relapse despite splenectomy. One of the leading causes of relapse is the presence of accessory spleen, which may become enlarged significantly with underlying pathologies such as presence of portal hypertension. The accessory spleen, which will inevitably enlarge in time, may grow significantly within a short period of time in the presence of portal hypertension and may thus be misdiagnosed as a tumoral mass. Presence of ectopic spleen should be borne in mind in patients diagnosed with immune thrombocytopenic purpura with relapsing hypersplenism following splenectomy. This article discusses a patient developing portal hypertension secondary to chronic liver disease and presenting with a significantly enlarged accessory spleen as well as hypersplenism findings.
Burhan Ozdil; Hikmet Akkiz; Macit Sandikci; Can Kece; Arif Cosar
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Platelets     Volume:  21     ISSN:  1369-1635     ISO Abbreviation:  Platelets     Publication Date:  2010  
Date Detail:
Created Date:  2010-01-15     Completed Date:  2010-03-05     Revised Date:  2012-09-26    
Medline Journal Info:
Nlm Unique ID:  9208117     Medline TA:  Platelets     Country:  England    
Other Details:
Languages:  eng     Pagination:  70-1     Citation Subset:  IM    
Cukurova University, Faculty of Medicine, Department of Gastroenterology, 01330 Adana, Turkey.
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MeSH Terms
Chronic Disease
Hypersplenism* / etiology,  surgery
Hypertension, Portal* / complications,  surgery
Liver Diseases / complications
Purpura, Thrombocytopenic* / complications,  surgery
Spleen / pathology,  surgery
Ultrasonography, Doppler, Duplex

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