Autor: |
van Buijtenen JM; Jesse M van Buijtenen, Department of Surgery, Westfriesgasthuis, PO Box 600, AR Hoorn Hoorn 1620, The Netherlands., Lamme B, Hesselink EJ |
Jazyk: |
angličtina |
Zdroj: |
World journal of hepatology [World J Hepatol] 2010 Jun 27; Vol. 2 (6), pp. 243-5. |
DOI: |
10.4254/wjh.v2.i6.243 |
Abstrakt: |
During liver resection clamping of the hepato-duodenal ligament (the Pringle maneuver) is performed to reduce intraoperative blood-loss. During this maneuver acute portal hypertension may lead to spontaneous splenic rupture requiring rapid splenectomy in order to control blood loss. We present 2 case of patients with hemorrhage from the spleen during clamping for liver surgery. A review of the literature with an emphasis on the pathophysiology of splenic hemorrhage is presented. |
Databáze: |
MEDLINE |
Externí odkaz: |
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