| Splenic infarction following conventional open gastrectomy in patients with gastric malignancy: a CT-based study. | |
| | |
MedLine Citation:
|
PMID: 22005909 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
PURPOSE: The aim of this CT-based study was to investigate the frequency of splenic infarction (SI) following conventional open gastrectomy performed for gastric malignant neoplasms. METHODS: 20 patients who underwent subtotal or total gastrectomy, omentectomy, and D2 lymph node dissections preserving the spleen for gastric malignant neoplasms were retrospectively reviewed. Patients with postoperative CT scans within 3 months were enrolled in this study. CT imaging was performed with a 64-row multidetector CT scanner. Abdominal CT scan with precontrast and postcontrast portal phase images was performed on 19 of the patients, while pulmonary CT angiography was performed on 1 patient for chest pain. Second postoperative control abdominal CT images were also present for 3 of the 5 patients with SI. These examinations were also reviewed for the evolution of the SI's. RESULTS: SI was detected in 5 of the patients (25%) at a postoperative early stage. A single infarct area was detected in 4 of the 5 patients while two distinct infarct areas were present in one patient. The infarct areas in two patients disappeared on the second postoperative control CT. A decrease in the size of the SI area in 1 patient was also detected on the second postoperative control CT scan. CONCLUSION: The frequency of SI as a complication of abdominal surgeries tends to increase in CT-based studies. We have detected the highest frequency in the literature and suggest that SI, especially when accompanying D2 lymphadenectomy, should be included in the list of early stage gastrectomy complications. |
| | |
Authors:
|
Kayihan Akin; Dilek Kosehan; Aysun Yakut Cengiz; Nuzhet Cenap Dener; Asli Koktener; Aydin Inan; Hacer Haltas; Banu Cakir |
Related Documents
:
|
8938929 - Preoperative cortical localization with functional mri for use in stereotactic radiosur... 22072239 - Diagnostic accuracy of (18) f-fdg-pet and pet/ct in patients with ewing sarcoma famil... 22144059 - Radiological localization of schneiderian papilloma. 15755239 - Do humans integrate routes into a cognitive map? map- versus landmark-based navigation ... 21813739 - Noninvasive assessment of transstenotic pressure gradients in porcine renal artery sten... 21940539 - Is segmental enhancement inversion on enhanced biphasic mdct a reliable sign for the no... 8938929 - Preoperative cortical localization with functional mri for use in stereotactic radiosur... 19107379 - Diffusion-weighted single-shot echo planar mr imaging of normal human prostate using di... 2710309 - Occult intrasacral meningocele: clinical and radiographic diagnosis. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-10-18 |
Journal Detail:
|
Title: Abdominal imaging Volume: - ISSN: 1432-0509 ISO Abbreviation: - Publication Date: 2011 Oct |
Date Detail:
|
Created Date: 2011-10-18 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9303672 Medline TA: Abdom Imaging Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Department of Radiology, Fatih University School of Medicine, Alparslan Turkes Cad. No: 57 06510 Emek, Ankara, Turkey, kayihanakin@yahoo.com. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Clinical results of and patient satisfaction with cervical laminoplasty for considerable cord compre...
Next Document: Unmasking tuberculosis in the era of antiretroviral treatment.