Document Detail

Splenic rupture related to thoracoscopic spine surgery.
MedLine Citation:
PMID:  20505563     Owner:  NLM     Status:  MEDLINE    
STUDY DESIGN: Case report and review of the literature. OBJECTIVE: We report a case of splenic rupture in association with thoracoscopic spine surgery. SUMMARY OF BACKGROUND DATA: Complications of thoracoscopic spine surgery have been reported in the literature, including pleural effusion, pneumothorax, chyle thorax, intercostal neuralgia, cerebrospinal fluid fistula, lung injury, and great vessel injury. Although it has been reported to have occurred with other endoscopic procedures, splenic rupture has not been reported in association with thoracoscopic spine surgery. METHODS: A 60-year-old man with a T12 spine lesion underwent T12 corpectomy and fusion using a thoracoscopic approach. Intraoperatively, he became hemodynamically unstable, and postoperative abdominal computed tomography was consistent with splenic rupture. RESULTS: He underwent emergent splenectomy and has made a good recovery. CONCLUSION: This case describes how retraction on the diaphragm during thoracoscopic spine surgery can lead to splenic injury. A high index of suspicion should be maintained in cases in which hemodynamic instability is identified despite a clean surgical field.
Mandy J Binning; Frank Bishop; Meic H Schmidt
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Spine     Volume:  35     ISSN:  1528-1159     ISO Abbreviation:  Spine     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-16     Completed Date:  2010-09-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E654-6     Citation Subset:  IM    
Department of Neurosurgery, University of Utah, Salt Lake City, UT 84132, USA.
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MeSH Terms
Middle Aged
Spinal Fusion / adverse effects*,  methods
Splenic Rupture / diagnosis,  etiology*
Thoracic Vertebrae / pathology,  surgery*
Thoracoscopy / adverse effects*,  methods
Tomography, X-Ray Computed

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